Active NPI
Cheryl M Mitchell, RDN
- Registered Dietitian
- Dacula, GA
National Provider Identifier
1053474767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003307
- Practice address
- 1862 Auburn Rd Ste 118-Q5
Dacula, GA 30019-1676 - Phone
- (770) 744-1995
- NPI assigned
- Dec 18, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD003307 | GA | Primary |
| Health Educator | 174H00000X |
Addresses
Primary practice location
1862 Auburn Rd Ste 118-Q5
Dacula, GA 30019-1676
Mailing address
PO Box 1715
Buford, GA 30515-8715
Phone (770) 744-1995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD003307 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Living Renewed, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
2550 Hamilton Mill Rd
Ste 13
Buford, GA 30519
1862 Auburn Rd
Ste 118
Dacula, GA 30019
Phone (678) 960-8953
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1053474767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1715",
"city": "BUFORD",
"state": "GA",
"postal_code": "305158715",
"telephone_number": "770-744-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1862 AUBURN RD STE 118-Q5",
"city": "DACULA",
"state": "GA",
"postal_code": "300191676",
"telephone_number": "770-744-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "CHERYL",
"middle_name": "M",
"credential": "RDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-18",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003307",
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.