Jordan D Mellinger, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

AT001719 Issued in GA

Practice address

1220 W Wheeler Pkwy
Augusta, GA 30909-6625

Phone

(706) 869-1515

NPI assigned

Jul 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hughston Clinic PCGroup PAC ID 1355254780, 111 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.22 of 100Reported as group

Quality

86.44

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.mellinger.1@321.direct.athenahealth.com

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.

• Hughston Clinic, P.C.

  • Orthopaedic Surgery Physician
  • Columbus, GA
  • NPI 1164461190

  GA

  Medicare reassignment Care Compare group NPD
• Albany Bone & Joint Clinic PC

  • Orthopaedic Surgery Physician
  • Albany, GA
  • NPI 1295709178

  GA

  Medicare reassignment NPD
• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620

  GA

  Medicare reassignment NPD
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Newnan, GA
  • NPI 1902682347
  Care Compare group NPD
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Dublin, GA
  • NPI 1104316652
  Care Compare group
• Hughston Clinic PC

  • Durable Medical Equipment & Medical Supplies
  • Leesburg, GA
  • NPI 1699951897
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Valdosta, GA
  • NPI 1003098336
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1346423241
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Lagrange, GA
  • NPI 1356523682
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Vidalia, GA
  • NPI 1508448127
  Care Compare group
• Hughston Clinic, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Thomaston, GA
  • NPI 1942442165
  Care Compare group
• Hughston Clinic, PC

  • Durable Medical Equipment & Medical Supplies
  • Eastman, GA
  • NPI 1285351346
  Care Compare group

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1669737771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318080370",
            "telephone_number": "706-494-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W WHEELER PKWY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096625",
            "telephone_number": "706-869-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Oakland Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "GA",
            "postal_code": "317637201",
            "country_code": "US",
            "telephone_number": "229-483-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELLINGER",
        "first_name": "JORDAN",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "AT001719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christa Nicole Meliezer, NP-C
• Melissa Jadick
• Davis L Mellick, PA-C
• Rachel Milner Mellick, PA-C
• Caleb Mellinger, PT, DPT, ATC
• Dennis Luis Antonio Mellnick
• Kappitola Mells
• Aprile Darlene Melton, RNC GONP
• Gilda Lee Mendez, RN
• Lauren Nicole Mendez, RD

• All providers in Augusta, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.