Individual provider Active NPI

Jadeda Hooks, RDN, CSR

  • Registered Dietitian
  • Newnan, GA
National Provider Identifier
1174834493
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD003784 Issued in GA
Practice address
1425 Highway 34 E
Newnan, GA 30265-1323
Phone
(470) 202-0119
Fax
(770) 580-1880
NPI assigned
Jul 1, 2010
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD003784 GA Primary
Renal Nutrition Registered Dietitian 133VN1005X LD003784 GA

Addresses

Primary practice location

1425 Highway 34 E
Newnan, GA 30265-1323

Mailing address

1741 Newnan Crossing Blvd E Ste I
Newnan, GA 30265-6600
Phone (470) 205-0119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804001709 GA Practitioner - Registered Dietitian Or Nutrition Professional 2365867678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1425 Hwy 34 E
Newnan, GA 30265-1323
Phone (470) 205-0119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LD003784GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Inc CurrentSince Jun 30, 2020 Accepting new patients
Kidney Nutrition Specialist LLC Dietitian, Registered CurrentSince Jul 6, 2020 Accepting new patients

Locations

1425 Highway 34 E
Newnan, GA 30265
Phone (770) 304-3724

1741 Newnan Crossing Blvd E
Ste O455
Newnan, GA 30265

130 Governors Sq
Ste C
Peachtree City, GA 30269
Phone (470) 205-0119

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1174834493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 NEWNAN CROSSING BLVD E STE I",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302656600",
            "telephone_number": "470-205-0119",
            "fax_number": "770-580-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651323",
            "telephone_number": "470-202-0119",
            "fax_number": "770-580-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOKS",
        "first_name": "JADEDA",
        "credential": "RDN, CSR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003784",
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD003784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.