Leigh Ann Jackson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5973C Issued in AL

Practice address

16202 Log Cabin Rd
Athens, AL 35611-8152

Phone

(256) 777-2095

NPI assigned

Aug 4, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1104740174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16202 LOG CABIN RD",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356118152",
            "telephone_number": "256-777-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16202 LOG CABIN RD",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356118152",
            "telephone_number": "256-777-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5973C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip R Ingram Jr., MD
• Cassie Coulter Ingrum, NP-C
• Island Medical Athens LLC
• Austin Zeke Jackson, PHARMD.
• Cerra Jordan Jackson, CRNP
• Mark Kent Jackson
• Tiffani Jackson
• Ashley Jae, CRNP
• Towana James, MS
• Trevor Michael Jarsombeck, DPT

• Clinical Social Worker in Athens, AL
• Providers in Athens, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.