Active NPI
Alicia C Simpson, MS, RD, LD, IBCLC
- Registered Dietitian
- Decatur, GA
National Provider Identifier
1306281472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004064
- Practice address
- 215 Church St Ste 112
Decatur, GA 30030-3330 - Phone
- (678) 607-6052
- Fax
- (404) 850-1362
- NPI assigned
- May 2, 2013
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | LD004064 | GA | |
| Pediatric Nutrition Registered Dietitian | 133VN1004X | LD004064 | GA | |
| Lactation Consultant (Non-RN) | 174N00000X | L-46587 | GA | |
| Registered Dietitian | 133V00000X | LD004064 | GA | Primary |
Addresses
Primary practice location
215 Church St Ste 112
Decatur, GA 30030-3330
Mailing address
215 Church St Ste 112
Decatur, GA 30030-3330
Phone (678) 607-6052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003137551A | Medicaid | GA |
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 |
|---|---|---|---|
| LD004064 | GA | MD | Registered Dietitian |
| L-46587 | GA | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pea Pod Nutrition and Lactation Support | Dietitian, Registered | Current | Accepting new patients |
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
Locations
1164 N Highland Ave NE
Atlanta, GA 30306
Phone (404) 771-5751
1 Baltimore Pl NW
Ste 105
Atlanta, GA 30308
Phone (404) 474-2770
215 Church St
Ste 112
Decatur, GA 30030
Phone (678) 607-6052
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.
-
- Registered Dietitian
- Atlanta, GA
- NPI 1396183190
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1306281472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 CHURCH ST STE 112",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303330",
"telephone_number": "678-607-6052",
"fax_number": "404-850-1362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 CHURCH ST STE 112",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303330",
"telephone_number": "678-607-6052",
"fax_number": "404-850-1362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "ALICIA",
"middle_name": "C",
"credential": "MS, RD, LD, IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-02",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "GA",
"license": "LD004064",
"primary": false
},
{
"code": "133VN1004X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Pediatric",
"state": "GA",
"license": "LD004064",
"primary": false
},
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": "L-46587",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003137551A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.