Organization Active NPI

Nutrix Healthcare

  • Family Medicine Physician
  • Fayetteville, GA
National Provider Identifier
1124918826
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NUTRIX HEALTHCARE
Practice address
155 Carnegie PL Ste 101
Fayetteville, GA 30214-3981
Phone
(404) 591-5027
Fax
(770) 507-1962
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Authorized official

Name
Ms. Rodshawnda D Franklin, NPNPI 1154159978
Title
Owner
Phone
(404) 951-8244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

155 Carnegie PL Ste 101
Fayetteville, GA 30214-3981

Mailing address

2260 Fairburn Rd SW
Atlanta, GA 30331-5014
Phone (404) 951-8244

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027003716 GA Part B Supplier - Clinic/Group Practice 5395234793 Receives reassigned benefits from 1 practitioner
Practice locations: Fayetteville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2329798Nutrix Healthcare155 Carnegie Place, Suite 101, Fayetteville, GA 30214Certificate of waiverSep 4, 2027

National Provider Directory

National Provider Directory

Locations

3915 Cascade Rd SW
Ste T-136
Atlanta, GA 30331

155 Carnegie Pl
Ste 101
Fayetteville, GA 30214
Phone (404) 591-5027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760227200000",
    "number": "1124918826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315014",
            "telephone_number": "404-951-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 CARNEGIE PL STE 101",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143981",
            "telephone_number": "404-591-5027",
            "fax_number": "770-507-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRIX HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "RODSHAWNDA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-951-8244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.