Daniyal Ayvazian, MS

Individual provider Active NPI Nutrition Education Nutritionist · Decatur, GA

NPI 1447124185 · NPPES record last updated Oct 4, 2025

Key facts

NPI
1447124185
Entity type
Individual (NPI type 1)
Primary specialty
Nutrition Education Nutritionist 133NN1002X
Practice address
1253 Hampton Park Rd
Decatur, GA 30033-4423
Phone
(706) 954-7642
NPI assigned
Oct 4, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X GA Yes

Addresses

Primary practice location

1253 Hampton Park Rd
Decatur, GA 30033-4423

Mailing address

1253 Hampton Park Rd
Decatur, GA 30033-4423
Phone (706) 954-7642

Other providers in Decatur, GA

All providers in Decatur, GA · Nutrition Education Nutritionist in Georgia

Sources for this page

Verify at the official NPI Registry.