Jydakis Mackey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

316 Columbia Dr Apt 11B
Carrollton, GA 30117-2022

Phone

(229) 860-0011

NPI assigned

Mar 10, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1710786009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 COLUMBIA DR APT 11B",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172022",
            "telephone_number": "229-860-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 COLUMBIA DR APT 11B",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172022",
            "telephone_number": "229-860-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "JYDAKIS",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Luke, DO
• Anne Lussier, BSN, RN, IBCLC
• Luxottica of America Inc (For Eyes (Co585))
• Gaines Griffin Lynott, DNP, CRNA
• Mary Ann Mabry, PHARM. D.
• Meredith Alice Maddox, M.S.P., CCC-SLP
• Laria Gemae Mahone, LAPC
• Fredrick Omurwa Makori, MD
• Latasha Nicole Mallard
• Debbie Malloy

• Behavior Technician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Behavior Technician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.