Individual provider Active NPI

Melanie Hackney, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1174249874
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN284708 Issued in GA
Practice address
1012 Coggins PL NE
Marietta, GA 30060-2585
Phone
(770) 422-2009
Fax
(770) 428-0330
NPI assigned
Oct 13, 2022
Last updated
Mar 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN284708 GA Primary

Addresses

Primary practice location

1012 Coggins PL NE
Marietta, GA 30060-2585

Mailing address

1314 Concord Rd SE
Smyrna, GA 30080-4361
Phone (770) 438-1799

Other practice location 1

1314 Concord Rd SE
Smyrna, GA 30080-4361
Phone (770) 438-1799

Other practice location 2

1 Baltimore Pl NW Ste 200
Atlanta, GA 30308-2114
Phone (470) 737-1606

Other practice location 3

6025 Professional Pkwy Ste 301
Douglasville, GA 30134-5610
Phone (770) 438-1799

Other practice location 4

10475 Medlock Bridge Rd Ste 420
Johns Creek, GA 30097-4439
Phone (470) 737-1569

Other practice location 5

11755 Pointe Pl Ste A1
Roswell, GA 30076-4657
Phone (770) 667-1264

Other practice location 6

15 Medical Dr NE Ste 350
Cartersville, GA 30121-8005
Phone (470) 737-1606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250522002691 GA Practitioner - Nurse Practitioner 3375062326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Psychiatry and SleepGroup PAC ID 4981736519, 31 clinicians

Practice addresses (Care Compare)

15 Medical Dr NE
Suite 300
Cartersville, GA 30121-8005
Phone (770) 438-1799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Mobile Health Care CurrentSince Sep 28, 2025 Accepting new patients
Georgia Psychiatry & Sleep Single Specialty CurrentSince May 19, 2025 Accepting new patients
Psych Atlanta, P.C. Single Specialty PastSince Sep 7, 2017 Accepting new patients
Young Minds Psychiatry, LC Single Specialty PastSince Oct 16, 2022 Accepting new patients
Northwest ENT Associates, PC Single Specialty PastSince May 19, 2025 Accepting new patients

Locations

1 Baltimore Pl NW
Ste 200
Atlanta, GA 30308
Phone (470) 737-1606

2150 Peachford Rd
Ste Q
Atlanta, GA 30338
Phone (678) 615-7032

15 Medical Dr NE
Ste 300
Cartersville, GA 30121
Phone (470) 737-1694

15 Medical Dr NE
Ste 350
Cartersville, GA 30121
Phone (470) 737-1606

6025 Professional Pkwy
Ste 301
Douglasville, GA 30134

10475 Medlock Bridge Rd
Ste 420
Johns Creek, GA 30097
Phone (470) 737-1569

1012 Coggins Pl NE
Marietta, GA 30060
Phone (770) 422-2009

11755 Pointe Pl
Ste A1
Roswell, GA 30076
Phone (770) 667-1264

1314 Concord Rd SE
Smyrna, GA 30080
Phone (770) 333-8889

Interoperability endpoints

  • Direct secure messaging: melanie.hackney.1@31211.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1174249874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804361",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 COGGINS PL NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602585",
            "telephone_number": "770-422-2009",
            "fax_number": "770-428-0330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 Concord Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300804361",
            "country_code": "US",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Baltimore Pl NW Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303082114",
            "country_code": "US",
            "telephone_number": "470-737-1606",
            "fax_number": "833-973-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6025 Professional Pkwy Ste 301",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301345610",
            "country_code": "US",
            "telephone_number": "770-438-1799",
            "fax_number": "770-825-9046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10475 Medlock Bridge Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300974439",
            "country_code": "US",
            "telephone_number": "470-737-1569",
            "fax_number": "833-973-2670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11755 Pointe Pl Ste A1",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764657",
            "country_code": "US",
            "telephone_number": "770-667-1264",
            "fax_number": "770-667-2238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Medical Dr NE Ste 350",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301218005",
            "country_code": "US",
            "telephone_number": "470-737-1606",
            "fax_number": "833-973-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKNEY",
        "first_name": "MELANIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN284708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.