Active NPI
Susan Boekel, RDN, LDN
- Registered Dietitian
- Watkinsville, GA
National Provider Identifier
1376090415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD001047
- Practice address
- 1026 Twelve Oaks PL Ste a
Watkinsville, GA 30677-4917 - Phone
- (404) 725-0808
- Fax
- (855) 449-4606
- NPI assigned
- Sep 7, 2016
- 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 | LD001047 | GA | Primary |
Addresses
Primary practice location
1026 Twelve Oaks PL Ste a
Watkinsville, GA 30677-4917
Mailing address
515 Lukes Still Rd
Franklin, NC 28734-2416
Phone (404) 725-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1026 Twelve Oaks PL
Suite a
Watkinsville, GA 30677-4917
Phone (404) 725-0808
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD001047 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingrid Knight, Rd and Associates, Inc. | Dietitian, Registered | Current | Accepting new patients |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Cherokee Indian Hospital Authority | Current | Accepting new patients | |
| Cherokee Indian Hospital Authority | Past | Accepting new patients | |
| Ikrdconsulting LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
1026 Twelve Oaks Pl
Ste A
Watkinsville, GA 30677
Phone (404) 907-7026
Organizations & group practices 6
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.
-
- Registered Dietitian
- Watkinsville, GA
- NPI 1609209246
Dietitian, Registered
-
- Family Medicine Physician
- Cherokee, NC
- NPI 1285713859
-
- Methadone Clinic
- Cherokee, NC
- NPI 1295336386
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cherokee, NC
- NPI 1588840318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1376090415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 LUKES STILL RD",
"city": "FRANKLIN",
"state": "NC",
"postal_code": "287342416",
"telephone_number": "404-725-0808",
"fax_number": "855-449-4606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 TWELVE OAKS PL STE A",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306774917",
"telephone_number": "404-725-0808",
"fax_number": "855-449-4606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOEKEL",
"first_name": "SUSAN",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD001047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.