Active NPI
Nicole Accettura Hawthorne, MS,RD,LD
- Registered Dietitian
- Elberton, GA
National Provider Identifier
1154477461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 002302
- Practice address
- 4 Medical Dr
Elberton, GA 30635-1830 - Phone
- (706) 213-2591
- Fax
- (706) 283-1657
- NPI assigned
- Jan 27, 2007
- 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 | 002302 | GA | Primary |
Addresses
Primary practice location
4 Medical Dr
Elberton, GA 30635-1830
Mailing address
12 Amherst Ave
Greenville, SC 29605-2025
Phone (864) 277-4193
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002302 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154477461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 AMHERST AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296052025",
"telephone_number": "864-277-4193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEDICAL DR",
"city": "ELBERTON",
"state": "GA",
"postal_code": "306351830",
"telephone_number": "706-213-2591",
"fax_number": "706-283-1657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWTHORNE",
"first_name": "NICOLE",
"middle_name": "ACCETTURA",
"name_prefix": "Mrs.",
"credential": "MS,RD,LD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "002302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elberton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.