MRS. MELINDA W. JACKSON (OTR/L) – Occupational Therapist, NPI 1972750073
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
486 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in GA
Provider Addresses for MRS. MELINDA W. JACKSON (OTR/L)
345 Shoreline Cir
Newnan, GA 302635940
Phone: (770) 304-3880
Type: Location
1755 HIGHWAY 34 E
STE 1300
NEWNAN, GA 302653186
Phone: (770) 304-3880
Type: Mailing
1124 N PARK ST STE M
CARROLLTON, GA 301172282
Phone: (770) 834-0873
Fax: (770) 834-6118
Type: Location
345 SHORELINE CIR
NEWNAN, GA 302635940
Phone: (770) 304-3880
Type: Location
150 CLINIC AVE STE 101
CARROLLTON, GA 301174402
Phone: (770) 834-0873
Type: Mailing
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: 2017-03-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170324000373 | I | Occupational Therapist In Private Practice | GA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 64 | 11 | $0 |
| 97165 | Evaluation for occupational therapy, typically 30 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Orthopedic Surgery | PA | |
| Orthopedic Surgery | MS | |
| Physical Therapist In Private Practice | GA | |
| Occupational Therapist In Private Practice | GA | |
| Nurse Practitioner | GA | |
| Orthopedic Surgery | GA | |
| Orthopedic Surgery | MI | |
| Orthopedic Surgery | GA | |
| Physician Assistant | GA |
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