Organization Active NPI

Nutrition Directions, LLC

  • Registered Dietitian
  • Stone Mountain, GA
National Provider Identifier
1023461787
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002518 Issued in GA
Legal business name
NUTRITION DIRECTIONS, LLC
Doing business as
Nutrition Directions, LLC
Practice address
4739 Ruby Forrest Dr
Stone Mountain, GA 30083-4942
Phone
(404) 277-8754
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Magon Saunders, DHSC, MS, RDN, LSNPI 1972994747
Title
Program Director
Phone
(404) 277-8754

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)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD002518 GA Primary

Addresses

Primary practice location

4739 Ruby Forrest Dr
Stone Mountain, GA 30083-4942

Mailing address

4739 Ruby Forrest Dr
Stone Mountain, GA 30083-4942
Phone (404) 277-8754

Other names 1

  • Nutrition Directions, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1023461787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 RUBY FORREST DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834942",
            "telephone_number": "404-277-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 RUBY FORREST DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834942",
            "telephone_number": "404-277-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITION DIRECTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "MAGON",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "404-277-8754",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DHSC, MS, RDN,  LS"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nutrition Directions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.