Pam McIntyre Or Lou Thompson, RD LD RDN LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000015 Issued in GA

Practice address

1113 Center Dr
Vidalia, GA 30474-5211

Phone

(912) 245-1765

Fax

(912) 537-2068

NPI assigned

May 27, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1497548903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 CENTER DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304745211",
            "telephone_number": "912-245-1765",
            "fax_number": "912-537-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CENTER DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304745211",
            "telephone_number": "912-245-1765",
            "fax_number": "912-537-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAM",
        "middle_name": "MCINTYRE OR LOU",
        "name_prefix": "Mrs.",
        "credential": "RD LD RDN LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7635",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000015",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "SC",
            "license": "1684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Endoscopy Center of Southeast Georgia, Inc
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• The Oaks - Bethany Skilled Nursing, LLC
• Thomas M. Allen M.D., LLC
• Taylor Thompson
• Three Rivers Home Health Services, Inc.
• Christina Michelle Tidwell, PA
• Ashlee Nicole Sharer Tillery, MD
• Katrina A Toler, CERTIFIED FIRST ASSI

• Registered Dietitian in Vidalia, GA
• Providers in Vidalia, 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 27, 2025; 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.