Anna Loyal Jackson, M.D.

Primary specialty

Forensic Psychiatry PhysicianTaxonomy code 2084F0202X

License

82106 Issued in GA

Practice address

2100 Central Ave Ste D1
Augusta, GA 30904-6709

Phone

(912) 216-2278

NPI assigned

Apr 20, 2015

Last updated

Jul 24, 2024By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jackson Forensic Psychiatry LLC

  • Forensic Psychiatry Physician
  • Augusta, GA
  • NPI 1093656829
  NPD Authorized official

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1952798787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 WASHINGTON RD STE 107 #275",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "912-216-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CENTRAL AVE STE D1",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046709",
            "telephone_number": "912-216-2278"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 23rd Ave S",
            "address_2": "Suite 3105 VPH",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372123133",
            "country_code": "US",
            "telephone_number": "615-327-7119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 Executive Park Dr NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292206",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E 70th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054813",
            "country_code": "US",
            "telephone_number": "866-557-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Mall Anx",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314064738",
            "country_code": "US",
            "telephone_number": "912-495-8887",
            "fax_number": "803-281-8882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E 66th St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314054519",
            "country_code": "US",
            "telephone_number": "912-525-2717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANNA",
        "middle_name": "LOYAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "GA",
            "license": "82106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jack H. Austin, Jr., MD, PC (Infectious Disease Consultants)
• Isaac Jacks, MD
• Jackson Forensic Psychiatry LLC
• Jackson Mobility Solutions, LLC
• Amanda Bryans Jackson, DMD
• Calvin R Jackson
• Catherine Jackson
• Charlene Dawn Jackson, RKT
• Christine Jackson, RN
• Elizabeth Jackson

• Forensic Psychiatry Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Forensic Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.