Active NPI
Brittany Mitchell Moment, MS, RDN, LD
- Registered Dietitian
- Sandersville, GA
National Provider Identifier
1356948293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD005680
- Practice address
- 114 S Harris St # a
Sandersville, GA 31082-1702 - Phone
- (478) 209-6912
- Fax
- (833) 740-4300
- NPI assigned
- Oct 5, 2020
- 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 | LD005680 | GA | Primary |
Addresses
Primary practice location
114 S Harris St # a
Sandersville, GA 31082-1702
Mailing address
320 Zeta St
Tennille, GA 31089-1351
Phone (706) 621-3499
Other names 1
- Brittany Michelle Mitchell
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 |
|---|---|---|---|
| LD005680 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707523200000",
"number": "1356948293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 ZETA ST",
"city": "TENNILLE",
"state": "GA",
"postal_code": "310891351",
"telephone_number": "706-621-3499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 S HARRIS ST # A",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821702",
"telephone_number": "478-209-6912",
"fax_number": "833-740-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOMENT",
"first_name": "BRITTANY",
"middle_name": "MITCHELL",
"name_prefix": "Mrs.",
"credential": "MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-05",
"last_updated": "2024-02-10",
"certification_date": "2024-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005680",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "MITCHELL",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sandersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.