LAVASHIA JACKSON – NPI #1912862210
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.

LAVASHIA JACKSON is a PACE organization located in OCEAN SPRINGS, MS. NPPES has assigned the NPI number 1912862210 to LAVASHIA JACKSON on December 18, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 251T00000X from the Health Care Provider Taxonomy code set, which is classified as Program of All-Inclusive Care for the Elderly (PACE) Provider Organization.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAVASHIA JACKSON below.

NPI Profile for
LAVASHIA JACKSON

NPI Number
1912862210
Enumeration Date

(about 6 months ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAVASHIA JACKSON
Primary location
2636 N 12TH ST
OCEAN SPRINGS, MS 39564-9481
Phone: (228) 281-0270 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Dec 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
251T00000X
- Program of All-Inclusive Care for the Elderly (PACE) Provider Organization (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.