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Deactivated NPI 1730489592 Deactivated / Inactive NPI Female Practitioner

Mary L. Melton , LPN

Licensed Practical Nurse • Jackson, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mary Melton has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 27, 2010
NPI Deactivation Date July 02, 2026
Total Practice Duration ~16 Years of Practice (2010 – 2026)

Professional Overview & Biography Verified Profile Summary

Mary Melton, LPN was a registered Licensed Practical Nurse practicing in Jackson, GA. Throughout an active medical career spanning 16 years, Mary Melton provided care at the practice location at 463 ERNEST BILES DR. until profile deactivation on 2026-07-02.

Practice Location & Contact Primary Location

Practice Address

463 Ernest Biles Dr.

Jackson, GA 30233

Telephone 7703588326
Fax 7707751154

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Jackson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Jackson, GA (1401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License GA LPN036141

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Valerie Jones , LPN

Licensed Practical Nurse

NPI 1528233434

Licensed Practical Nurse

Lynn Boyles , LCSW

Social Worker - Clinical

NPI 1902012925

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 02, 2026

Record deactivated on July 02, 2026

NPI Profile Active October 27, 2010

NPI status registered as active in NPPES database

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Updated Practice Location October 27, 2010

Registered at 463 ERNEST BILES DR., JACKSON, GA 30233 (Tel: 7703588326)

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Updated Business Mailing Address October 27, 2010

Registered at 3 ELM STREET, COVINGTON, GA 300143353 (Tel: 6783422170)

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Provider Name / Credentials Updated October 27, 2010

Recorded as MARY MELTON, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2010

Licensed Practical Nurse (License #LPN036141 in GA)

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Initial NPI Registration & Enumeration October 27, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730489592
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2010
Last Update: October 27, 2010
Deactivation Date: July 02, 2026

Mailing Address

3 Elm Street

Covington, GA 300143353

Phone: 6783422170

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.