Active NPI
Kesha Chanel Palmer
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1003748047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003725
- Practice address
- 2296 Henderson Mill Rd NE Ste 116
Atlanta, GA 30345-2739 - Phone
- (757) 652-6488
- NPI assigned
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD003725 | GA | Primary |
Addresses
Primary practice location
2296 Henderson Mill Rd NE Ste 116
Atlanta, GA 30345-2739
Mailing address
1711 Watford GLN
Lawrenceville, GA 30043-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD003725 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simple Faith Wellness LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
2296 Henderson Mill Rd NE
Ste 116
Atlanta, GA 30345
Phone (404) 692-6907
Organizations & group practices 1
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.
-
- Registered Dietitian
- Lawrenceville, GA
- NPI 1205769965
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1003748047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 WATFORD GLN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300433078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2296 HENDERSON MILL RD NE STE 116",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452739",
"telephone_number": "757-652-6488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "KESHA",
"middle_name": "CHANEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.