Sherkeith Jackson

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

23255663 Issued in GA

Practice address

1606 Gloucester St Ste 5
Brunswick, GA 31520-7145

Phone

(607) 205-9186

Fax

(540) 225-9700

NPI assigned

Jul 19, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Journey Support Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Simons Island, GA
  • NPI 1588558530

  Case Management

  NPD Authorized official

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

{
    "created_epoch": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1831081124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 GLOUCESTER ST STE 5",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207145",
            "telephone_number": "607-205-9186",
            "fax_number": "540-225-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 GLOUCESTER ST STE 5",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315207145",
            "telephone_number": "607-205-9186",
            "fax_number": "540-225-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHERKEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "23255663",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "GA",
            "license": "23255663",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "23255663",
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "23255663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Jackson
• Jenna L. Jackson
• Jennifer Jackson, RN
• Kierra Jackson
• Loretta Patrice Jackson, LCSW
• Kezia Anila Jacob, D.M.D.
• Kiara Jacobs
• Sandra Jacobs
• James W Greene MD LLC
• Timothy A Jamieson, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.