Charlene Wilson, RDN, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD005433 Issued in GA

Practice address

1325 Satellite Blvd NW Ste 103
Suwanee, GA 30024-4697

Phone

(770) 231-9264

NPI assigned

Nov 19, 2019

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

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Harmony Nutrition LLCGroup PAC ID 7315371127, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Harmony Nutrition LLC

  • Registered Dietitian
  • Alpharetta, GA
  • NPI 1588127450
  Medicare reassignment Care Compare group
• 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": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1487290995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 FAIRECROFT TER",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244066",
            "telephone_number": "770-231-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SATELLITE BLVD NW STE 103",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300244697",
            "telephone_number": "770-231-9264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4553 Fairecroft Ter",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244066",
            "country_code": "US",
            "telephone_number": "770-231-9264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "CHARLENE",
        "credential": "RDN, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-19",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD005433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael Williams, NCC
• Sharon L Williams, BA, RBT
• Turkessa Lashelle Williams
• William Blount Willimas, DMD
• Bryant D Wilson, RBT
• Courtney Ann Wilson, PA
• Windermere Optique LLC
• Windermere Orthodontics LLC
• Kimberly Ann Winn, ATC
• Amira Winston, RBT

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

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.