Individual provider Active NPI

Sondra Tackett, RD

  • Registered Dietitian
  • Savannah, GA
National Provider Identifier
1508379595
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86027981
Practice address
7805 Waters Ave Ste 7a
Savannah, GA 31406-2444
Phone
(912) 800-5674
NPI assigned
Nov 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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 86027981 Primary

Addresses

Primary practice location

7805 Waters Ave Ste 7a
Savannah, GA 31406-2444

Mailing address

1115 Corinth Ave
Savannah, GA 31406-4949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210130000208 NC Practitioner - Registered Dietitian Or Nutrition Professional 6103230339 Reassigns benefits to 1 organization
I20220629001432 GA Practitioner - Registered Dietitian Or Nutrition Professional 6103230339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2110 E Victory Dr
Savannah, GA 31409-3918
Phone (704) 380-4655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
NHW of Ga LLC Dietitian, Registered CurrentSince Apr 1, 2022 Accepting new patients
Nutrition Healthworks LLC Dietitian, Registered CurrentSince Nov 24, 2020 Accepting new patients
Ascanio Physical Therapy PastSince May 21, 2021 Accepting new patients

Locations

7805 Waters Ave
Ste 7A
Savannah, GA 31406
Phone (912) 355-8040

2110 E Victory Dr
Savannah, GA 31404

19607 W Catawba Ave
Ste 102
Cornelius, NC 28031
Phone (704) 625-6191

19607 W Catawba Ave
Cornelius, NC 28031
Phone (704) 892-3542

172 Williamson Rd
Unit 5205
Mooresville, NC 28117

170 Joe Knox Ave
Mooresville, NC 28117
Phone (704) 360-2779

7985 NC Highway 150 E
Unit 24
Terrell, NC 28682

Organizations & group practices 3

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1508379595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 CORINTH AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314064949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 WATERS AVE STE 7A",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062444",
            "telephone_number": "912-800-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACKETT",
        "first_name": "SONDRA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": "86027981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; 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.