Sohailla Digsby, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003183 Issued in GA

Practice address

629 Ronald Reagan Dr
Suite B
Evans, GA 30809-7608

Phone

(706) 868-0319

Fax

(706) 868-3719

NPI assigned

Jan 11, 2014

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

• Sohailla Mariam McKendry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1389398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396656000000",
    "number": "1154743060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 RONALD REAGAN DR",
            "address_2": "SUITE C",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097608",
            "telephone_number": "706-868-0319",
            "fax_number": "706-868-3719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 RONALD REAGAN DR",
            "address_2": "SUITE B",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097608",
            "telephone_number": "706-868-0319",
            "fax_number": "706-868-3719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGSBY",
        "first_name": "SOHAILLA",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-11",
        "last_updated": "2014-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOHAILLA",
            "last_name": "MCKENDRY",
            "middle_name": "MARIAM",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2014; 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.