Individual provider Active NPI

Jennifer M Kerr, MS, RDN, LD

  • Registered Dietitian
  • Brunswick, GA
National Provider Identifier
1174096002
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
10162961 Issued in OR
Practice address
1111 Glynco Pkwy Ste 35
Brunswick, GA 31525-7930
Phone
(912) 304-7013
Fax
(912) 342-1025
NPI assigned
Jan 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 10162961 OR Primary

Addresses

Primary practice location

1111 Glynco Pkwy Ste 35
Brunswick, GA 31525-7930

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other practice location 1

1706 Alice St
Waycross, GA 31501-5216
Phone (912) 285-1140

Other practice location 2

4700 Waters Ave Ste 201
Savannah, GA 31404-6220
Phone (912) 692-2000

Other practice location 3

4805 NE Glisan St # 1N11
Portland, OR 97213-2933
Phone (503) 215-4356 ext. 54356

Other practice location 4

1 Meadows Pkwy Ste B
Vidalia, GA 30474-8759
Phone (912) 454-7012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250502002093 GA Practitioner - Registered Dietitian Or Nutrition Professional 0345580874 Reassigns benefits to 1 organization
I20260427000482 TX Practitioner - Registered Dietitian Or Nutrition Professional 0345580874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nourish, Inc.Group PAC ID 1557724937, 288 clinicians

Practice addresses (Care Compare)

3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
American Oncology Partners PA CurrentSince Apr 15, 2025 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

1111 Glynco Pkwy
Ste 35
Brunswick, GA 31525
Phone (912) 304-7013

4700 Waters Ave
Ste 201
Savannah, GA 31404
Phone (912) 692-2000

1 Meadows Pkwy
Ste B
Vidalia, GA 30474
Phone (912) 454-7012

1706 Alice St
Waycross, GA 31501
Phone (912) 283-6240

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1174096002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749495",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749495",
            "telephone_number": "855-963-2100",
            "fax_number": "813-321-1296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GLYNCO PKWY STE 35",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315257930",
            "telephone_number": "912-304-7013",
            "fax_number": "912-342-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 Alice St",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315015216",
            "country_code": "US",
            "telephone_number": "912-285-1140",
            "fax_number": "912-285-1125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-692-2000",
            "fax_number": "912-692-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 NE Glisan St # 1N11",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132933",
            "country_code": "US",
            "telephone_number": "503-215-4356 x54356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Meadows Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "GA",
            "postal_code": "304748759",
            "country_code": "US",
            "telephone_number": "912-454-7012",
            "fax_number": "866-871-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERR",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MS, RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-03",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "10162961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.