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

MS. Tanisha Jackson

Individual provider Case Manager/Care Coordinator · NPI 1407311509

MS. Tanisha Jackson is a Case Manager/Care Coordinator in Lagrange, Georgia. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1271 Hogansville Rd Apt 115
Lagrange, GA 30241-6667
Phone: (334) 646-1574
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6740 James B Rivers Dr, Stone Mountain, GA 30083-2235 — (404) 713-5896

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1407311509
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 4, 2019
Last updated in NPPESFebruary 4, 2019
Mailing address1271 Hogansville Rd Apt 115, Lagrange, GA 30241-6667

Other providers in Lagrange