Active NPI
Mary George
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1215316492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 803738
- Practice address
- 80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031 - Phone
- (404) 616-9848
- NPI assigned
- May 21, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 803738 | GA | Primary |
Addresses
Primary practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Mailing address
1206 Manor Crest CT NE
Marietta, GA 30068-2401
Phone (678) 525-1587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 803738 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432166400000",
"number": "1215316492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 MANOR CREST CT NE",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682401",
"telephone_number": "678-525-1587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JESSE HILL JR DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033031",
"telephone_number": "404-616-9848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGE",
"first_name": "MARY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-21",
"last_updated": "2015-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "803738",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.