MELVIN JACKSON MD
NPI 1962511535
Family Medicine in Macon, GA
About Melvin Jackson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELVIN JACKSON MD (NPI 1962511535) is an individual family medicine provider in Macon, Georgia, licensed in Georgia (039134) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Melvin Jackson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Melvin Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MACON, GA 31201
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 Melvin Jackson's NPI number?
The NPI number for Melvin Jackson is 1962511535. It was assigned to this individual provider in the NPPES registry on August 29, 2006.
Where is Melvin Jackson located?
Melvin Jackson practices at 777 Hemlock St Hb 64, Macon, GA 31201. The listed phone number is (478) 633-2097.
What is Melvin Jackson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Melvin Jackson enrolled in Medicare?
Yes. Melvin Jackson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Melvin Jackson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melvin Jackson reassigns Medicare benefits to Peachtree Immediate Care Fp, LLC (Hiram, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melvin Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Melvin Jackson accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Melvin Jackson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Melvin Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Melvin Jackson, MD · NPI 1962511535
Family Medicine physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1962511535 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 039134 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 HEMLOCK ST, HB 64, Macon, GA 31201-2102
- **Phone:** (478) 633-2097 · **Fax:** (478) 633-7836
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 08BDQBL (GA); Medicare UPIN G98383
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Source: [NPI Profile](https://npiprofile.com/npi/1962511535) · Data from the CMS NPPES public registry.