Maxine McNicholas Jackson

Primary specialty

Social WorkerTaxonomy code 104100000X

License

MSW013276 Issued in GA

Practice address

1826 Veterans Blvd
Dublin, GA 31021-3631

Phone

(478) 272-1210

NPI assigned

Sep 15, 2026

Last updated

Sep 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1215848502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 S PINE KNOLL DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 VETERANS BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310213631",
            "telephone_number": "478-272-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121A Bellevue Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310212998",
            "country_code": "US",
            "telephone_number": "478-272-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNICHOLAS JACKSON",
        "first_name": "MAXINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW013276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alayna McLean, MD
• Brandon S McLean, LMSW
• Madison Hope McLendon, M.S. CCC-SLP
• Ronnie G McNeal, CRT
• Jason S McNeely, RPH, PHARMD
• Me Pivot Holdings LLC (Miracle-Ear Center)
• Medical Center, LLP
• Medplex, Inc.
• Anesha N Merriweather, RPH, PHARMD, MBA
• Lauryn Ashleigh Metzdorf, ATC, PA-C

• Social Worker in Dublin, GA
• Providers in Dublin, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.