Manifest Nutrition LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MANIFEST NUTRITION LLC

Practice address

44 Darbys Crossing Dr Ste 206
Hiram, GA 30141-6008

Phone

(470) 954-6517

NPI assigned

Mar 2, 2026

Last updated

Mar 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keirra Cromer-Ellis, RDNNPI 1417791344

Title

RDN/Owner

Phone

(470) 954-6517

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keirra Shequanna Cromer-Ellis, NUTRITIONIST

  • Registered Dietitian
  • Hiram, GA
  • NPI 1417791344

  Dietitian, Registered

  NPD Authorized official

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

{
    "created_epoch": "1772409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1326993791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PROSPECT PATH",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412694",
            "telephone_number": "470-954-6517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DARBYS CROSSING DR STE 206",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301416008",
            "telephone_number": "470-954-6517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST NUTRITION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-02",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "CROMER-ELLIS",
        "authorized_official_first_name": "KEIRRA",
        "authorized_official_title_or_position": "RDN/OWNER",
        "authorized_official_telephone_number": "470-954-6517",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• M&M Prime LLC
• Rita M Mahmoud, PHD
• Robert Maina
• Alexis Malcolm, NP
• Megan Mallari
• Kaitlan Mansour
• Marietta Eye Clinic, PA
• Marietta Eye Optical Inc
• Mark Lynn O.D. & Associates, P.C. (Visionworks)
• Daniel Marti, DC

• Registered Dietitian in Hiram, GA
• Providers in Hiram, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.