MEDICARE: MARLEY MIKELL MELTON OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT008029	GA

General Provider Information

NPI Number	:	1669301750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARLEY MIKELL MELTON OTR/L

Provider Business Mailing Address
First Line	:	24 GLENDALE AVE STE B
Second Line	:
City	:	BAXLEY
State	:	GA
Zip	:	31513-0245
Country	:	US
Telephone Number	:	912-705-9952
Fax Number	:	912-705-2864

Provider Business Practice Location Address
First Line	:	24 GLENDALE AVE STE B
Second Line	:
City	:	BAXLEY
State	:	GA
Zip	:	31513-0245
Country	:	US
Telephone Number	:	912-705-9952
Fax Number	:	912-705-2864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

Similar Medicare Providers

1629341862 — MS. KIMBERLY ANN DAVIS FNPBC
Practice Location Address:

24 GLENDALE AVE STE K
BAXLEY, GA
31513-0245

Practice Phone: 912-705-5394
Practice Fax: 912-705-5396

1275104853 — SOUTHERN VISION CARE, LLC
Practice Location Address:

24 GLENDALE AVE STE F
BAXLEY, GA
31513-0245

Practice Phone: 912-705-7096
Practice Fax: 912-705-7097

1104542364 — TONI HALE-TINNER
Practice Location Address:

24 GLENDALE AVE STE F
BAXLEY, GA
31513-0245

Practice Phone: 850-725-3061
Practice Fax: 912-705-3061

1841917382 — TISSUE ISSUE INC
Practice Location Address:

24 GLENDALE AVE STE F
BAXLEY, GA
31513-0245

Practice Phone: 850-725-3061
Practice Fax: 912-705-3061

1083544563 — DEEPER WATERS COUNSELING
Practice Location Address:

9 NE PARK AVE
BAXLEY, GA
31513-0003

Practice Phone: 912-278-4739
Practice Fax:

1144957671 — JENNIFER ASHLEY SKINNER
Practice Location Address:

821 S MAIN ST STE C
BAXLEY, GA
31513-0163

Practice Phone: 912-644-5300
Practice Fax:

Directions to “ MARLEY MIKELL MELTON OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.