Individual provider Active NPI

Darby Goodyear

  • Registered Dietitian
  • Dunwoody, GA
National Provider Identifier
1285401141
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD006707 Issued in GA
Practice address
41 Perimeter Ctr E Ste 250
Dunwoody, GA 30346-1902
Phone
(770) 871-3730
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD006707 GA Primary

Addresses

Primary practice location

41 Perimeter Ctr E Ste 250
Dunwoody, GA 30346-1902

Mailing address

41 Perimeter Ctr E Ste 640
Dunwoody, GA 30346-1903
Phone (770) 871-3730

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LD006707GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Collaborative Atlanta, LLC Dba the Emily Program CurrentSince Dec 17, 2023 Accepting new patients
Allara Medical Group PA Past Accepting new patients

Locations

41 Perimeter Ctr E
Ste 640
Dunwoody, GA 30346
Phone (770) 871-3730

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1285401141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 PERIMETER CTR E STE 640",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461903",
            "telephone_number": "770-871-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PERIMETER CTR E STE 250",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461902",
            "telephone_number": "770-871-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODYEAR",
        "first_name": "DARBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD006707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.