Lindsay Spivey Petty, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

190 Cedar Creek CT
Fayetteville, GA 30215-2799

Phone

(478) 278-0641

NPI assigned

May 13, 2020

Last updated

May 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Worksite Wellness Partners

  • Registered Dietitian
  • Alpharetta, GA
  • NPI 1861000192

  Dietitian, Registered

  NPD

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1447872486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CEDAR CREEK CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152799",
            "telephone_number": "478-278-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CEDAR CREEK CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152799",
            "telephone_number": "478-278-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "LINDSAY",
        "middle_name": "SPIVEY",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Shane Petrie, DDS
• Janine Nicole Pettiford, M.D.
• Shalonda B Pettis, PA-C
• Charles William Pettus, MD
• Brittany Petty
• Phenix Enterprise Services, LLC (Helping Hands Private Home Care)
• Phenomenal Feeling Vitality Center
• Melisa Philatre, FNP-BC
• Shibu Philip, MD
• Emmerson Philippe, MS, BCBA

• Registered Dietitian in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.