Jessie D Gall, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003960 Issued in GA

Practice address

1250 Powder Springs St SE
Smyrna, GA 30080-3427

Phone

(770) 262-2574

NPI assigned

Aug 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Fay Nutrition

  • Registered Dietitian
  • San Francisco, CA
  • NPI 1104334465

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1598659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1477166387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 N COOPER LAKE RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 POWDER SPRINGS ST SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803427",
            "telephone_number": "770-262-2574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3700 N Cooper Lake Rd SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300823316",
            "country_code": "US",
            "telephone_number": "770-262-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALL",
        "first_name": "JESSIE",
        "middle_name": "D",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Ann Marie Francis, PH.D., LPC
• Candace Amber Frazier, P.T., D.P.T
• Aynastee Monae Frederick
• Paul Micah Friddle, M.S., BCBA
• Melina Friedman, O.D.
• Rebecca Clegg Galla, LPC
• Cherie Gallant, DC
• Daniel Andres Galvez, DMD
• Kaushang A Gandhi, MD
• Latausha M Gardenhire Rodgers, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.