Organization Active NPI

S. Jackson Psychiatry

  • Psychiatry Physician
  • Macon, GA
National Provider Identifier
1790601995
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
S. JACKSON PSYCHIATRY
Practice address
145 1St St
Macon, GA 31201-2627
Phone
(478) 342-2400
NPI assigned
Jun 24, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Authorized official

Name
Shacarya Jackson, APRNNPI 1982317764
Title
Owner
Phone
(478) 216-3126

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

145 1St St
Macon, GA 31201-2627

Mailing address

6711 Chriswood Dr
Macon, GA 31216-6721
Phone (478) 216-3126

National Provider Directory

National Provider Directory

Locations

145 1st St
Macon, GA 31201
Phone (478) 215-2398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1790601995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 CHRISWOOD DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312166721",
            "telephone_number": "478-216-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012627",
            "telephone_number": "478-342-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JACKSON PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHACARYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-216-3126",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

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