Melissa Lynn Hoover, R.D., L.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD003015 Issued in GA

Practice address

71 N Jackson St
Forsyth, GA 31029-2168

Phone

(580) 279-0109

NPI assigned

Apr 2, 2008

Last updated

May 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ignite Performance Nutrition, LLC

  dba Ignite Nutrition Services

  • Registered Dietitian
  • Forsyth, GA
  • NPI 1669227005

  Dietitian, Registered

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1548433212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BELMONT WAY",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310295372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 N JACKSON ST",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292168",
            "telephone_number": "580-279-0109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Eagles Landing Pkwy",
            "address_2": "Food and Nutrition Dept",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815085",
            "country_code": "US",
            "telephone_number": "678-604-5106",
            "fax_number": "678-604-5441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "MELISSA",
        "middle_name": "LYNN",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD003015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latoya Nicole Henry-Morrison
• Toneisha Herring
• Stanley J Hickman, D.M.D.
• Holly A Hoenes, M.D.
• Sophia Holland
• Charles Joseph Hortman Jr.
• Hospitalmd PTC Ga, Inc
• Hospitalmd PTC Ip, Inc
• Ignite Performance Nutrition, LLC (Ignite Nutrition Services)
• Ingles Markets Inc

• Registered Dietitian in Forsyth, GA
• Providers in Forsyth, 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 7, 2024; 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.