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

Melvin Jackson, NP

Individual provider Nurse Practitioner · NPI 1679451249

Melvin Jackson, NP is a Nurse Practitioner in Newnan, Georgia. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

745 Poplar Rd
Newnan, GA 30265-1618
Phone: (770) 400-2353
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1066 Alma Dr, Macon, GA 31216-6195 — (478) 951-3820

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP309363 (GA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN309363 (GA)

Record details

NPI number1679451249
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 22, 2025
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address1066 Alma Dr, Macon, GA 31216-6195

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Newnan