M. Eugenia Couchoud-Wilkinson, M.S., R.D.N, L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003876 Issued in GA

Practice address

11340 Lakefield Dr
Suite 200
Johns Creek, GA 30097-1714

Phone

(678) 407-2159

Fax

(678) 288-8234

NPI assigned

Jun 27, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Nutritionecw LLC

  • Registered Dietitian
  • Lawrenceville, GA
  • NPI 1649766874

  Dietitian, Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436054400000",
    "number": "1316201015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HERON LAKE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436850",
            "telephone_number": "678-575-1966",
            "fax_number": "678-288-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 LAKEFIELD DR",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971714",
            "telephone_number": "678-407-2159",
            "fax_number": "678-288-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUCHOUD-WILKINSON",
        "first_name": "M. EUGENIA",
        "credential": "M.S., R.D.N, L.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2015-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nailah Asha Copeland
• Matthew Tucker Coppage, DPT
• Cornerstone Mental Health Center LLC
• Christopher Russel Corwin, DPM
• Victor Alan Couch, RNFA
• Brigitte Council, PA
• Creekside Oral Surgery Inc
• Creekview Pediatrics LLC
• Joshua Crockett, LCSW
• Constance Cromartie, LPC

• Registered Dietitian in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.