Individual provider Active NPI

Melissa S Berman, M.S., R.D. L.D.

  • Obesity and Weight Management Nutrition Registered Dietitian
  • Cumming, GA
National Provider Identifier
1255524773
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X
License
LD001144 Issued in GA
Practice address
5485 Linger Longer Rd
Cumming, GA 30041-9091
Phone
(404) 414-1112
NPI assigned
Aug 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD001144 GA
Metabolic Nutrition Registered Dietitian 133VN1006X 001144 GA
Obesity and Weight Management Nutrition Registered Dietitian 133VN1201X LD001144 GA Primary

Addresses

Primary practice location

5485 Linger Longer Rd
Cumming, GA 30041-9091

Mailing address

8343 Roswell Rd
Suite 323
Atlanta, GA 30350-2810
Phone (404) 414-1112

Other practice location 1

8343 Roswell Rd
Suite 323
Atlanta, GA 30350-2810
Phone (404) 414-1112

Other names 1

  • Melissa S Nodvin Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
001144GAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1255524773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8343 ROSWELL RD",
            "address_2": "SUITE 323",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303502810",
            "telephone_number": "404-414-1112",
            "fax_number": "213-286-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5485 LINGER LONGER RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419091",
            "telephone_number": "404-414-1112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8343 Roswell Rd",
            "address_2": "Suite 323",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303502810",
            "country_code": "US",
            "telephone_number": "404-414-1112",
            "fax_number": "213-286-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MELISSA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.S., R.D. L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-20",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001144",
            "primary": false
        },
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "GA",
            "license": "001144",
            "primary": false
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "GA",
            "license": "LD001144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "NODVIN",
            "middle_name": "S",
            "credential": "M.S., R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

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