Active NPI
Gibraltar Biz, LLC
- Clinic/Center
- Stone Mountain, GA
National Provider Identifier
1013680388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- GIBRALTAR BIZ, LLC
- Practice address
- 5505 E Mountain St
Stone Mountain, GA 30083-3027 - Phone
- (678) 485-3308
- NPI assigned
- Jul 31, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fritha Skinner Dinwiddie, RDN
- Title
- Owner
- Phone
- (678) 485-3308
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
5505 E Mountain St
Stone Mountain, GA 30083-3027
Mailing address
5505 E Mountain St
Stone Mountain, GA 30083-3027
Phone (678) 485-3308
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D1103 | Other | MS | STATE BOARD OF LICENSURE |
| DT85347 | Other | TX | STATE BOARD OF LICENSURE |
| ND9557 | Other | FL | STATE BOARD OF LICENSURE |
| 677280 | Other | COMMISSION ON DIETETIC REGISTRATION, ACADEMY OF NUTRITION AND DIETETICS | |
| L003247 | Other | NC | STATE BOARD OF LICENSURE |
| 1093126997 | Medicaid | GA | |
| 893 | Other | AL | STATE BOARD OF LICENSURE |
| 2273 | Other | KS | STATE BOARD OF LICENSURE |
| 878 | Other | GA | STATE BOARD OF LICENSURE |
| LDN2393 | Other | TN | STATE BOARD OF LICENSURE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | admin@gibraltarbiz.com | Other |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Stone Mountain, GA
- NPI 1093126997
-
- Registered Dietitian
- Mattoon, IL
- NPI 1629453097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627689600000",
"number": "1013680388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 E MOUNTAIN ST",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833027",
"telephone_number": "678-485-3308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 E MOUNTAIN ST",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833027",
"telephone_number": "678-485-3308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GIBRALTAR BIZ, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-31",
"last_updated": "2021-07-31",
"certification_date": "2021-07-31",
"status": "A",
"authorized_official_last_name": "DINWIDDIE",
"authorized_official_first_name": "FRITHA",
"authorized_official_middle_name": "SKINNER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-485-3308",
"authorized_official_credential": "RDN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "D1103",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "DT85347",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "ND9557",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMISSION ON DIETETIC REGISTRATION, ACADEMY OF NUTRITION AND DIETETICS",
"identifier": "677280",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "L003247",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093126997",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "893",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "2273",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "878",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSURE",
"identifier": "LDN2393",
"state": "TN"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "admin@gibraltarbiz.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "secure at URL",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5505 E Mountain St",
"city": "Stone Mountain",
"state": "GA",
"country_code": "US",
"postal_code": "300833027",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.