Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melody Jackson

Individual provider Massage Therapist · NPI 1891676961

Melody Jackson is a Massage Therapist in Lilburn, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
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Practice location Address checks out

909 Indian Lake Dr NW
Lilburn, GA 30047-6807
Phone: (770) 990-6065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT010006 (GA)

Record details

NPI number1891676961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 8, 2025
Last updated in NPPESSeptember 8, 2025
Certification dateSeptember 8, 2025
Mailing address909 Indian Lake Dr Nw, Lilburn, GA 30047-6807

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