Individual provider Active NPI

Alison Coleman Sturgill, RDN, LDN

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1508585597
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD004070 Issued in GA
Practice address
615 Peachtree St NE
Atlanta, GA 30308-2309
Phone
(404) 251-0742
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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 LD004070 GA Primary

Addresses

Primary practice location

615 Peachtree St NE
Atlanta, GA 30308-2309

Mailing address

592 Swan Lake Rd
Stockbridge, GA 30281-1528
Phone (502) 645-0746

Other identifiers 2

IdentifierTypeStateIssuer
1095802OtherCOMMISSION ON DIETETIC REGISTRATION
LD004070OtherGAGEORGIA BOARD OF EXAMINERS OF LICENSED DIETITIANS

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

LicenseStateTypeSpecialty
LD004070GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1508585597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 SWAN LAKE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811528",
            "telephone_number": "502-645-0746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PEACHTREE ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082309",
            "telephone_number": "404-251-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURGILL",
        "first_name": "ALISON",
        "middle_name": "COLEMAN",
        "credential": "RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD004070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMISSION ON DIETETIC REGISTRATION",
            "identifier": "1095802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA BOARD OF EXAMINERS OF LICENSED DIETITIANS",
            "identifier": "LD004070",
            "state": "GA"
        }
    ],
    "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 Aug 24, 2022; 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.