Active NPI
Gail Ann Dorner, RD, LD, CLC
- Registered Dietitian
- Albany, GA
National Provider Identifier
1336217157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000368
- Practice address
- 1306 S Slappey Blvd
Suite G, Box 7
Albany, GA 31701-2699 - Phone
- (229) 430-4111
- Fax
- (229) 430-3866
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000368 | GA | Primary |
Addresses
Primary practice location
1306 S Slappey Blvd
Suite G, Box 7
Albany, GA 31701-2699
Mailing address
265 Brenda LN
Albany, GA 31707-1257
Phone (229) 436-5515
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
| License | State | Type | Specialty |
|---|---|---|---|
| 000368 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336217157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 BRENDA LN",
"city": "ALBANY",
"state": "GA",
"postal_code": "317071257",
"telephone_number": "229-436-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 S SLAPPEY BLVD",
"address_2": "SUITE G, BOX 7",
"city": "ALBANY",
"state": "GA",
"postal_code": "317012699",
"telephone_number": "229-430-4111",
"fax_number": "229-430-3866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORNER",
"first_name": "GAIL",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "RD, LD, CLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "000368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.