Individual provider Active NPI

Melissa Taylor

  • Clinical Social Worker
  • Locust Grove, GA
National Provider Identifier
1497250534
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
211 Jaybird LN
Locust Grove, GA 30248-2708
Phone
(770) 235-2564
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

211 Jaybird LN
Locust Grove, GA 30248-2708

Mailing address

211 Jaybird LN
Locust Grove, GA 30248-2708

Other names 1

  • Melissa Taylor-Smith Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250227002258 GA Practitioner - Clinical Social Worker 3971023474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Hands Integrated Psychiatric Services LLC CurrentSince Feb 1, 2025 Accepting new patients
Bridging the Process Counseling & Consulting Services Clinical Past Accepting new patients

Locations

1 Glenlake Pkwy
Ste 650700
Sandy Springs, GA 30328
Phone (404) 849-7485

Interoperability endpoints

  • Direct secure messaging: melissa.taylor.1@30520.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1497250534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 JAYBIRD LN",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 JAYBIRD LN",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302482708",
            "telephone_number": "770-235-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "TAYLOR-SMITH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.