Carie Marie Medlin, RDN

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

LD003873 Issued in GA

Practice address

642 Bryan St SE
Atlanta, GA 30312-3309

Phone

(404) 683-4987

NPI assigned

Dec 30, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1053950675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 BRYAN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123309",
            "telephone_number": "404-683-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 BRYAN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123309",
            "telephone_number": "404-683-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLIN",
        "first_name": "CARIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "GA",
            "license": "LD003873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oscar Dario Medina, M.D
• Meditateology, LLC
• Medix Radiology Services LLC
• Medlife Medical Supply & Equipment, LLC
• Medlife Medical Transport LLC
• Danelle Medlin, CPNP
• Lisa Medlin
• Sar Medoff, M.D.
• Medprime Brookhaven
• Medprime, LLC

• Obesity and Weight Management Nutrition Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.