Individual provider Active NPI

Mercy Aremu, RD,LDN

  • Registered Dietitian
  • Snellville, GA
National Provider Identifier
1093199622
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004073 Issued in GA
Practice address
2330 Scenic Hwy S Ste 203
Snellville, GA 30078-3115
Phone
(770) 881-8651
NPI assigned
Jul 14, 2015
Reactivated
Aug 10, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L004135 NC
Registered Dietitian 133V00000X LD004073 GA Primary
Renal Nutrition Registered Dietitian 133VN1005X NU
Metabolic Nutrition Registered Dietitian 133VN1006X NU
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X NU

Addresses

Primary practice location

2330 Scenic Hwy S Ste 203
Snellville, GA 30078-3115

Mailing address

PO Box 3021
Loganville, GA 30052-1968
Phone (704) 691-3055

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL yourfide.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929003135 GA Practitioner - Registered Dietitian Or Nutrition Professional 9537476098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2330 Scenic Hwy S
Suite 203
Snellville, GA 30078-3115
Phone (770) 881-8651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Yourfide Dietitian LLC Dietitian, Registered CurrentSince Jun 22, 2022 Accepting new patients
Yourfide Dietitian LLC Current Accepting new patients
Hoffman Family Chiropractic, PA CurrentSince Jul 30, 2015 Accepting new patients
Healing Favor Nutrition Inc Dietitian, Registered CurrentSince Aug 28, 2022 Accepting new patients

Locations

4315 50th St NW
Ste 100
Washington, DC 20016
Phone (240) 277-4427

2330 Scenic Hwy S
#203
Snellville, GA 30078
Phone (770) 881-8651

2330 Scenic Hwy S
Ste 203
Snellville, GA 30078
Phone (678) 789-9435

867 Boylston St
Fl 5
Boston, MA 02116
Phone (617) 221-3202

3540 Toringdon Way
Ste 200
Charlotte, NC 28277
Phone (704) 575-7816

616 Cox Rd
Gastonia, NC 28054
Phone (704) 691-3055

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.

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1093199622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3021",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300521968",
            "telephone_number": "704-691-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 SCENIC HWY S STE 203",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783115",
            "telephone_number": "770-881-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREMU",
        "first_name": "MERCY",
        "name_prefix": "Mrs.",
        "credential": "RD,LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "deactivation_date": "2020-06-26",
        "reactivation_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L004135",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004073",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "yourfide.com",
            "affiliation": "N",
            "address_1": "2330 Scenic Hwy S Ste 203",
            "city": "Snellville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300783115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.

Verify at the official NPI Registry.