MRS. MELINDA W. JACKSON OTR/L
NPI 1972750073
Occupational Therapist in Carrollton, GA

Active since August 20, 2008Accepts Medicare Assignment
90.8/100
CMS Quality Rating
1124 N PARK ST STE M, CARROLLTON, GA 30117(770) 834-0873(770) 834-6118 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2025, May 23, 2017 (2 updates tracked since 2017).

About Mrs. Melinda W. Jackson Otr/l NPPES

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

MRS. MELINDA W. JACKSON OTR/L (NPI 1972750073) is an individual occupational therapist in Carrollton, Georgia, licensed in Georgia (OT002649) and active in the NPI registry since August 2008. She maintains a secondary practice location in Newnan and is a graduate of Other (1997).

NPPES Registry Identity

NPI1972750073
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. MELINDA W. JACKSONCredential: OTR/L
Location Address1124 N PARK ST STE MCarrollton, GA 30117-2282
Mailing Address150 Clinic Ave Ste 101Carrollton, GA 30117-4402 · (770) 834-0873
Fax(770) 834-6118
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 20, 2008
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
NPI 1972750073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in GA · OT002649
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1124 N PARK ST STE M, Carrollton, GA 30117

Secondary Practice Location 1

Location 1345 Shoreline CirNewnan, GA 30263-5940 · Phone (770) 304-3880

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Melinda W. Jackson Otr/l is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163707654
PECOS Enrollment IDI20170324000373

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
1124 N PARK ST STE M
CARROLLTON, GA 30117
Occupational Therapist
1124 N PARK ST STE M
CARROLLTON, GA 30117
Physical Therapist
1124 N PARK ST STE M
CARROLLTON, GA 30117
Physical Therapist
1124 N PARK ST STE M
CARROLLTON, GA 30117
Occupational Therapist
1124 N PARK ST STE M
CARROLLTON, GA 30117

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 Melinda Jackson's NPI number?

The NPI number for Melinda Jackson is 1972750073. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Melinda Jackson located?

Melinda Jackson practices at 1124 N Park St Ste M, Carrollton, GA 30117. The listed phone number is (770) 834-0873.

What is Melinda Jackson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Melinda Jackson enrolled in Medicare?

Yes. Melinda Jackson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Melinda Jackson accept?

Health plans from Alliant Health Plans, Inc. list Melinda 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 Melinda Jackson was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.