Active NPI
Page Love, RDN
- Registered Dietitian
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD001032
- Practice address
- 5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342 - Phone
- (770) 395-7331
- Fax
- (678) 669-2235
- NPI assigned
- Mar 19, 2007
- Last updated
- Dec 20, 2024
- Sex
- Female
- Sole proprietor
- No
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 | LD001032 | GA | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342
Mailing address
6840 Chapel Glen Court
Atlanta, GA 30360-1327
Phone (770) 395-7331
Other practice location 1
5671 Peachtree Dunwoody Rd Ste 900
Atlanta, GA 30342-5022
Phone (404) 531-8590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LD001032 | Other | GA | PROFESSIONAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1990
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
159 Spencer SPGS
Gallatin, TN 37066-8783
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-1831
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD001032 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients | |
| Resurgens, LLC | Current | Accepting new patients | |
| WBC Georgia LLC | Past | Accepting new patients | |
| Unlimited Spectrum, LLC | Past | Accepting new patients |
Locations
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Resurgens Orthopaedics
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Atlanta, GA
- NPI 1346610789
-
- Adult Mental Health Clinic/Center
- Atlanta, GA
- NPI 1235674375
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1033233697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 CHAPEL GLEN COURT",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303601327",
"telephone_number": "770-395-7331",
"fax_number": "678-669-2235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD",
"address_2": "SUITE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30342",
"telephone_number": "770-395-7331",
"fax_number": "678-669-2235"
}
],
"practiceLocations": [
{
"address_1": "5671 Peachtree Dunwoody Rd Ste 900",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303425022",
"country_code": "US",
"telephone_number": "404-531-8590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOVE",
"first_name": "PAGE",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2024-12-20",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD001032",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "LD001032",
"state": "GA"
}
],
"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 Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.