Active NPI
Melanie Anne Wilkes, DPT
- Physical Therapist
- Jefferson, GA
National Provider Identifier
1760796676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9970
- Practice address
- 2620 Gum Springs Church Rd
Jefferson, GA 30549-4441 - Phone
- (678) 227-4243
- NPI assigned
- Aug 3, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9970 | GA | Primary |
Addresses
Primary practice location
2620 Gum Springs Church Rd
Jefferson, GA 30549-4441
Mailing address
2620 Gum Springs Church Rd
Jefferson, GA 30549-4441
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9970 | GA | MD | Critical Care Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1760796676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 GUM SPRINGS CHURCH RD",
"city": "JEFFERSON",
"state": "GA",
"postal_code": "305494441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 GUM SPRINGS CHURCH RD",
"city": "JEFFERSON",
"state": "GA",
"postal_code": "305494441",
"telephone_number": "678-227-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILKES",
"first_name": "MELANIE",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-03",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "9970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jefferson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.