Organization Active NPI

DHW Enterprises

  • Nutrition Education Nutritionist
  • Douglasville, GA
National Provider Identifier
1033622956
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition Education NutritionistTaxonomy code 133NN1002X
Legal business name
DHW ENTERPRISES
Doing business as
DHW Nutrition & Fitness
Practice address
5300 Brickleberry Way Ste 104
Douglasville, GA 30134-4065
Phone
(678) 799-8613
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Shantea Johnson, MS, MPH, CHESNPI 1356702054
Title
Owner
Phone
(678) 770-5247

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
Nutrition Education NutritionistGroup: 193400000X SINGLE SPECIALTY GROUP 133NN1002X Primary

Addresses

Primary practice location

5300 Brickleberry Way Ste 104
Douglasville, GA 30134-4065

Mailing address

3721 New Macland Rd # 200-129
Powder Springs, GA 30127-2000
Phone (678) 770-5247

Other names 1

  • DHW Nutrition & Fitness Doing business as

National Provider Directory

National Provider Directory

Locations

5300 Brickleberry Way
Ste 104
Douglasville, GA 30134
Phone (678) 799-8613

3721 New Macland Rd
#200129
Powder Springs, GA 30127

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1033622956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 NEW MACLAND RD # 200-129",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301272000",
            "telephone_number": "678-770-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 BRICKLEBERRY WAY STE 104",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301344065",
            "telephone_number": "678-799-8613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DHW ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHANTEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-770-5247",
        "authorized_official_credential": "MS, MPH, CHES"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DHW Nutrition & Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.