Active NPI
Melanie Raye Ackerman, BCBA
- Behavior Analyst
- Decatur, GA
National Provider Identifier
1083246748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-40593
- Practice address
- 496 Medlock Rd
Decatur, GA 30030-1566 - Phone
- (229) 733-5565
- Fax
- (229) 391-9150
- NPI assigned
- Feb 10, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-40593 | GA | Primary |
Addresses
Primary practice location
496 Medlock Rd
Decatur, GA 30030-1566
Mailing address
496 Medlock Rd
Decatur, GA 30030-1566
Phone (229) 733-5565
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | melanie@evergreenaba.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Behavior Consultants | Behavior Analyst | Past | Accepting new patients |
| Evergreen ABA | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Decatur, GA
- NPI 1710877832
-
- Behavior Analyst
- Gainesville, GA
- NPI 1265940126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781740800000",
"number": "1083246748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "496 MEDLOCK RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301566",
"telephone_number": "229-733-5565",
"fax_number": "229-391-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "496 MEDLOCK RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301566",
"telephone_number": "229-733-5565",
"fax_number": "229-391-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKERMAN",
"first_name": "MELANIE",
"middle_name": "RAYE",
"name_prefix": "Miss",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-10",
"last_updated": "2026-06-18",
"certification_date": "2026-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-20-40593",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "melanie@evergreenaba.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "496 Medlock Rd",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300301566",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.