MELANIE JOHNSON – Occupational Therapist, NPI 1043681331

MELANIE JOHNSON is a healthcare provider. based in Decatur, Georgia. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. OT004255 (GA). The NPI Number for MELANIE JOHNSON is 1043681331

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE JOHNSON
NPI
1043681331
Phone
(404) 296-8511
Address
575 DEKALB INDUSTRIAL WAY STE 103
Enumeration Date
13 October 2015
Last Update Date
13 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042968511
Graduation Year
2005 (21 years ago)
PAC ID
3274832183
Group Practice PAC ID
3971529256
Professional Enrollment ID
I20160427001926
Address ID
GA300304101DE141XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

486 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MELANIE JOHNSON

  • 575 DEKALB INDUSTRIAL WAY STE 103

    DECATUR, GA 300301756

    Phone: (404) 296-8511

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160427001926IOccupational Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2011$0
View full utilization report →

Insurance plans in this area (ZIP 30030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971529256View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeGA
-GA
Occupational Therapist In Private PracticeNC
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What federal number belongs to MELANIE JOHNSON?
The federal identifier for MELANIE JOHNSON is NPI 1043681331.
Is MELANIE JOHNSON's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MELANIE JOHNSON's specialty in plain language?
Clinically, the directory lists MELANIE JOHNSON with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is MELANIE JOHNSON's primary listing?
We display Decatur, Georgia because that is what the record indicates for MELANIE JOHNSON.
What if Decatur, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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