Cordelia Olympia Poe, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000128 Issued in GA

Practice address

131 N Jefferson St NE
Milledgeville, GA 31061-5513

Phone

(478) 445-4817

Fax

(478) 445-4963

NPI assigned

Sep 25, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1174874598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1827",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310591827",
            "telephone_number": "478-445-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N JEFFERSON ST NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310615513",
            "telephone_number": "478-445-4817",
            "fax_number": "478-445-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POE",
        "first_name": "CORDELIA",
        "middle_name": "OLYMPIA",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-25",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Pierce, RN, DNP
• Drew Thomas Pittman Jr.
• Sherrie Bernice Pitts-Johnson, LPC
• Hector Piza, M.D.
• PMR Health Care Agency LLC
• Shelley Hardie Pool, FNP-C
• Lauren Taylor Pounds, P.A.-C
• Debra Menger Powelski, RN
• Power Haus Pro Solutions, LLC
• Prabhdeep Brar MD PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; 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.