Shacarya Jackson, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN254432 Issued in GA

Practice address

145 1St St
Macon, GA 31201-2627

Phone

(478) 215-2398

Fax

(478) 202-9625

NPI assigned

Dec 27, 2022

Last updated

May 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA, NM2 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGAHCA

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.

• Deepti Bhasin MD Inc

  • Psychiatry Physician
  • Warner Robins, GA
  • NPI 1104147081
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, NM, Psychiatric/Mental Health

  Medicare reassignment NPD
• IV Hydration Health & Wellness

  • Medical Specialty Clinic/Center
  • Macon, GA
  • NPI 1063294155
  NPD Authorized official
• Meridian Psychiatry & Behavioral Health

  • Psychiatry Physician
  • Macon, GA
  • NPI 1093667685
  NPD Authorized official
• S. Jackson Psychiatry

  • Psychiatry Physician
  • Macon, GA
  • NPI 1790601995
  NPD (past) Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778889600000",
    "number": "1982317764",
    "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": "478-215-2398",
            "fax_number": "478-202-9625"
        },
        {
            "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": "478-215-2398",
            "fax_number": "478-202-9625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHACARYA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2026-05-16",
        "certification_date": "2026-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN254432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krisa Forehand Jackson, ATC, PA-C
• Leonia Jackson
• Melvin Jackson, MD
• Moreh Joy Jackson
• Nicole Lewis Jackson, DDS
• Sherida Dawn Jacobs, DMD
• Jaelyn Buchanan
• Jalila Hussain Jafri
• Pravin K Jain, MD
• Ans Ahmad Jajja

• Psychiatric/Mental Health Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.