MELODY JACKSON
NPI 1891676961
Massage Therapist in Lilburn, GA

Q: What is Melody Jackson's NPI number?

The NPI number for Melody Jackson is 1891676961. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Q: What is Melody Jackson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Melody Jackson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 08, 2025

909 INDIAN LAKE DR NW, LILBURN, GA 30047(770) 990-6065 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Melody Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELODY JACKSON (NPI 1891676961) is an individual massage therapist in Lilburn, Georgia, licensed in Georgia (MT010006) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1891676961

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMELODY JACKSON

Location Address909 INDIAN LAKE DR NWLilburn, GA 30047-6807

Mailing Address909 Indian Lake Dr NwLilburn, GA 30047-6807 · (770) 990-6065

Phone(770) 990-6065

Sole ProprietorYes

Enumeration DateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1891676961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in GA · MT010006

Definition

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melody Jackson's NPI number?

The NPI number for Melody Jackson is 1891676961. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Melody Jackson located?

Melody Jackson practices at 909 Indian Lake Dr NW, Lilburn, GA 30047. The listed phone number is (770) 990-6065.

What is Melody Jackson's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Melody Jackson was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.