Raegan Perkins, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1799 Clairmont Rd
Decatur, GA 30033-4005

Phone

(678) 568-4717

NPI assigned

Dec 31, 2020

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

Electronic endpoints 1

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": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1184211518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 SUNNY BROOK LN",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303282123",
            "telephone_number": "405-714-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300334005",
            "telephone_number": "678-568-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "RAEGAN",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.tdwellness.com/",
            "affiliation": "N",
            "endpointDescription": "company website address with simple practice",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Electronic access",
            "address_1": "1799 Clairmont Rd",
            "city": "Decatur",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300334005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Performance Injury Center LLC.
• Perimeter Medical Associates,P.C.
• Perimeter Smiles, LLC
• Jonathan Joel Perkins, M.D.
• Matthew2 Ross Perkins
• Stephanie Perkins, NP
• Carla Perry-Davis
• Cherelle Perry
• Jasmaya Nicole Perry
• Lisa Perry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.