Addie Laforest Brooks, MSHA, RDN, CSO, LD

Primary specialty

Oncology Nutrition Registered DietitianTaxonomy code 133VN1301X

Practice address

960 Johnson Fy Rd NE Ste 335
Atlanta, GA 30342-1625

Phone

(404) 497-8700

Fax

(404) 497-8701

NPI assigned

May 11, 2023

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

Other names 1

• Addie Laforest Ackerson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990

  Single Specialty

  NPD

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1538859681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 HAWTHORNE WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623115",
            "telephone_number": "404-293-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 JOHNSON FY RD NE STE 335",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421625",
            "telephone_number": "404-497-8700",
            "fax_number": "404-497-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "ADDIE",
        "middle_name": "LAFOREST",
        "credential": "MSHA, RDN, CSO, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1301X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADDIE",
            "last_name": "ACKERSON",
            "middle_name": "LAFOREST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brookhaven Family Dentistry, P. C.
• Brookhaven Renal Systems, LLC
• Brookhaven Speech,LLC
• Brooks Medical Group, Inc.
• Juanita Annette Brooks-Warren, M. D.
• Bianca Brooks, PHD
• Brandon Brooks
• Brianna Monai Brooks, LPC
• Carol W Brooks, CRNA
• Carolyn Grace Brooks

• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, 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 11, 2023; 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.