Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leonia Jackson

Individual provider Family Medicine Physician · NPI 1427818624

Leonia Jackson is a Family Medicine Physician in Macon, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

777 Hemlock Street Ln # 165
Macon, GA 31201-2168
Phone: (478) 633-1634
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 16004 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427818624
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2024
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address777 Hemlock Street Ln # 165, Macon, GA 31201-2168

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