Active NPI
Michael Allyn Borders, RD
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1497563597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004145
- Practice address
- 10 Perimeter Park Dr Apt 314
Atlanta, GA 30341-1342 - Phone
- (404) 797-1540
- NPI assigned
- Dec 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LDN7139 | MA | |
| Registered Dietitian | 133V00000X | DX6367 | MD | |
| Registered Dietitian | 133V00000X | 217060 | AK | |
| Registered Dietitian | 133V00000X | LD004145 | GA | Primary |
Addresses
Primary practice location
10 Perimeter Park Dr Apt 314
Atlanta, GA 30341-1342
Mailing address
10 Perimeter Park Dr Apt 314
Atlanta, GA 30341-1342
Phone (404) 797-1540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217060 | AK | MD | Registered Dietitian |
| LD004145 | GA | MD | Registered Dietitian |
| LDN7139 | MA | MD | Registered Dietitian |
| DX6367 | MD | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1497563597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 PERIMETER PARK DR APT 314",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411342",
"telephone_number": "404-797-1540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PERIMETER PARK DR APT 314",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303411342",
"telephone_number": "404-797-1540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDERS",
"first_name": "MICHAEL",
"middle_name": "ALLYN",
"name_prefix": "Mr.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "LDN7139",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MD",
"license": "DX6367",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "AK",
"license": "217060",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.