Active NPI
Melissa S Berman, M.S., R.D. L.D.
- Obesity and Weight Management Nutrition Registered Dietitian
- Cumming, GA
National Provider Identifier
1255524773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obesity and Weight Management Nutrition Registered Dietitian
- License
- LD001144
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001144 | GA | MD | Marriage & 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.