NPIMap

Organization Active NPI

Gear Up for Wellness LLC

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1417419383
Registry record updated Apr 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
GEAR UP FOR WELLNESS LLC
Practice address
1023 Juniper St NE Unit 205
Atlanta, GA 30309-4068
Phone
(404) 904-0268
NPI assigned
Apr 1, 2019
Last updated
Apr 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2019

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

Authorized official

Name
Jody MalleoNPI 1528523990
Title
Rd
Phone
(404) 904-0268

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU Primary

Addresses

Primary practice location

1023 Juniper St NE Unit 205
Atlanta, GA 30309-4068

Mailing address

1023 Juniper St NE Unit 205
Atlanta, GA 30309-4068

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1554076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554076800000",
    "number": "1417419383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 JUNIPER ST NE UNIT 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 JUNIPER ST NE UNIT 205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094068",
            "telephone_number": "404-904-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEAR UP FOR WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-01",
        "last_updated": "2019-04-01",
        "status": "A",
        "authorized_official_last_name": "MALLEO",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "RD",
        "authorized_official_telephone_number": "404-904-0268"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.