Jeanette Shelley, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

300 Bullsboro Dr Ste B-C
Newnan, GA 30263-1680

Phone

(470) 419-4380

NPI assigned

Jan 5, 2021

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

• Jeanette Wieczorek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Beltline Bariatric and Surgical Group LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1700232865
  NPD
• Beltline Weight Loss LLC

  • Obesity Medicine (Preventive Medicine) Physician
  • Atlanta, GA
  • NPI 1134686090
  NPD (past)

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1134717168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BULLSBORO DR STE B-C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631680",
            "telephone_number": "470-419-4380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BULLSBORO DR STE B-C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631680",
            "telephone_number": "470-419-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLEY",
        "first_name": "JEANETTE",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "WIECZOREK",
            "credential": "RD,  LD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Monique Sharpe
• Kenneth Allen Shaw Jr., MD
• Kevin James Sheahan, MD
• Kelly Anna Christina Sheldon
• Scott W Shelfo, M.D.
• Kimberly W Shelnutt, OT
• Kyndal R Shelnutt, RBT
• Tatum Shepard, D.C.
• Deborah L Sheppard
• Sharon Diane Shields, D.C.

• Registered Dietitian in Newnan, GA
• Providers in Newnan, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; 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.