Active NPI
Gwenna Lynn Egart, R.D., L.D.
- Registered Dietitian
- Lagrange, GA
National Provider Identifier
1093709347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001186
- Practice address
- 122A Gordon Commercial Dr
Lagrange, GA 30240-5740 - Phone
- (706) 298-1510
- NPI assigned
- Sep 1, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001186 | GA | Primary |
Addresses
Primary practice location
122A Gordon Commercial Dr
Lagrange, GA 30240-5740
Mailing address
418 Salem Ridge CT
McDonough, GA 30253-4780
Phone (770) 954-4597
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troup County Board of Health | Past | Accepting new patients |
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.
-
- State or Local Public Health Clinic/Center
- Lagrange, GA
- NPI 1912091661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1093709347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 SALEM RIDGE CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534780",
"telephone_number": "770-954-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122A GORDON COMMERCIAL DR",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302405740",
"telephone_number": "706-298-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGART",
"first_name": "GWENNA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-01",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "001186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.