Individual provider Active NPI

Amy Elizabeth McCloud

  • Registered Dietitian
  • Brunswick, GA
National Provider Identifier
1346483658
Registry record updated Apr 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD001376 Issued in GA
Practice address
208 Scranton Connector
Suite 118
Brunswick, GA 31525-0559
Phone
(912) 264-5961
Fax
(912) 262-9499
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2009

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 LD001376 GA Primary

Addresses

Primary practice location

208 Scranton Connector
Suite 118
Brunswick, GA 31525-0559

Mailing address

208 Scranton Connector
Suite 118
Brunswick, GA 31525-0559
Phone (912) 264-5961

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brunswick Urgent Care, LLC PastSince Apr 20, 2019 Accepting new patients
Nephrology & Hypertension Medical Associates, PC PastSince May 11, 2015 Accepting new patients

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": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1346483658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR",
            "address_2": "SUITE 118",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250559",
            "telephone_number": "912-264-5961",
            "fax_number": "912-262-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 SCRANTON CONNECTOR",
            "address_2": "SUITE 118",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315250559",
            "telephone_number": "912-264-5961",
            "fax_number": "912-262-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOUD",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.