Organization Active NPI

Jackson Evolutionary Therapeutic Solutions PLLC

  • Psychiatry Physician
  • Garner, NC
National Provider Identifier
1649169541
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
JACKSON EVOLUTIONARY THERAPEUTIC SOLUTIONS PLLC
Practice address
1140 Benson Rd Ste 220D
Garner, NC 27529-4659
Phone
(984) 212-3076
NPI assigned
Jul 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Ms. Claudia Jackson, PMHNPNPI 1619785284
Title
Owner
Phone
(984) 212-3076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1140 Benson Rd Ste 220D
Garner, NC 27529-4659

Mailing address

1140 Benson Rd Ste 220B
Garner, NC 27529-5439
Phone (984) 212-3076

National Provider Directory

National Provider Directory

Locations

1140 Benson Rd
Ste 220B
Garner, NC 27529
Phone (984) 233-1471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1649169541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BENSON RD STE 220B",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295439",
            "telephone_number": "984-212-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BENSON RD STE 220D",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294659",
            "telephone_number": "984-212-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON EVOLUTIONARY THERAPEUTIC SOLUTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-02",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "984-212-3076",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.