Individual provider Active NPI

Jatun Kreatson Neal, M.F.C.S., R.D., L.D.

  • Registered Dietitian
  • Decatur, GA
National Provider Identifier
1427294420
Registry record updated Dec 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002878 Issued in GA
Practice address
755 Commerce Dr
2ND Floor
Decatur, GA 30030-2627
Phone
(404) 417-5200
NPI assigned
Dec 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2008

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 LD002878 GA Primary

Addresses

Primary practice location

755 Commerce Dr
2ND Floor
Decatur, GA 30030-2627

Mailing address

4178 Grant Forest Cir
Ellenwood, GA 30294-5505
Phone (404) 285-7275

Other names 1

  • Ms. Jatun Kreatson McKenzie Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LD002878GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1229817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229817600000",
    "number": "1427294420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4178 GRANT FOREST CIR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302945505",
            "telephone_number": "404-285-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 COMMERCE DR",
            "address_2": "2ND FLOOR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302627",
            "telephone_number": "404-417-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "JATUN",
        "middle_name": "KREATSON",
        "name_prefix": "Mrs.",
        "credential": "M.F.C.S., R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-21",
        "last_updated": "2008-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JATUN",
            "last_name": "MCKENZIE",
            "middle_name": "KREATSON",
            "prefix": "MS.",
            "credential": "M.F.C.S., R.D., L.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2008; 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.