Talon Nutrition

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TALON NUTRITION

Practice address

728 Greenhill Rd
Mount Airy, NC 27030-2320

Phone

(904) 318-9944

NPI assigned

Jun 7, 2023

Last updated

Nov 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Paul Rogers III, RDNNPI 1114585197

Title

Dietian/Co-Founder

Phone

(904) 318-9944

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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.

• Gary Paul Rogers III, RDN

  • Registered Dietitian
  • Mount Airy, NC
  • NPI 1114585197

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1417641937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 GREENHILL RD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302320",
            "telephone_number": "904-318-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 GREENHILL RD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302320",
            "telephone_number": "904-318-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALON NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-07",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "DIETIAN/CO-FOUNDER",
        "authorized_official_telephone_number": "904-318-9944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Dietitian in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.