Individual provider Active NPI

Abby Johnson, R.D

  • Registered Dietitian
  • Alpharetta, GA
National Provider Identifier
1477097707
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004308 Issued in GA
Practice address
1802 Abbey CT
Alpharetta, GA 30004-6017
Phone
(678) 554-7576
NPI assigned
Dec 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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 LD004308 GA Primary

Addresses

Primary practice location

1802 Abbey CT
Alpharetta, GA 30004-6017

Mailing address

1802 Abbey CT
Alpharetta, GA 30004-6017
Phone (678) 554-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200103001834 GA Practitioner - Registered Dietitian Or Nutrition Professional 8224462031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Worksite Wellness Partners Dietitian, Registered CurrentSince Aug 2, 2020 Accepting new patients
Harmony Nutrition LLC Dietitian, Registered CurrentSince Nov 19, 2019 Accepting new patients

Locations

1802 Abbey Ct
Alpharetta, GA 30004
Phone (678) 393-8661

1325 Satellite Blvd NW
Ste 103
Suwanee, GA 30024
Phone (678) 554-7576

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1477097707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 ABBEY CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046017",
            "telephone_number": "678-554-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 ABBEY CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046017",
            "telephone_number": "678-554-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ABBY",
        "credential": "R.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.