Alice Gray Deloache Tollison, MS RD LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

10 McClennan Banks Dr
Charleston, SC 29425-2422

Phone

(843) 985-1593

NPI assigned

Jul 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Alice Gray Deloache Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Simply Nutrition

  • Registered Dietitian
  • Columbia, SC
  • NPI 1457983561

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1053898932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCCLENNAN BANKS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011164",
            "telephone_number": "843-985-1593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCCLENNAN BANKS DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294252422",
            "telephone_number": "843-985-1593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLISON",
        "first_name": "ALICE",
        "middle_name": "GRAY DELOACHE",
        "credential": "MS RD LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "DELOACHE",
            "middle_name": "GRAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Victoria H Tolbert
• Benjamin A Toll, PH.D.
• Erica Lorraine Tollerson
• James H Tolley, MD
• Shernette J Tolley
• Amelia Rose Tollison
• Bryan K Tolliver, M.D. PH.D.
• Alexandra Jean Toloczko, MD
• Sydnee Tolpa, DC
• Chloe Kiana Tom, MD

• Registered Dietitian in Charleston, SC
• Providers in Charleston, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.