Eileen S Brantley, FNTP, MS, CNS-CAN

Individual provider Active NPI Nutrition Education Nutritionist · Winterville, GA

NPI 1164311601 · NPPES record last updated Jun 30, 2025

Key facts

NPI
1164311601
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Education Nutritionist 133NN1002X
Practice address
73 Beaverdam Creek Rd
Winterville, GA 30683-2720
Phone
(615) 714-8197
NPI assigned
Jun 30, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X Yes

Addresses

Primary practice location

73 Beaverdam Creek Rd
Winterville, GA 30683-2720

Mailing address

73 Beaverdam Creek Rd
Winterville, GA 30683-2720
Phone (615) 714-8197

Other providers in Winterville, GA

All providers in Winterville, GA · Nutrition Education Nutritionist in Georgia

Sources for this page

Verify at the official NPI Registry.