NPIMap

Organization Active NPI

Atlanta Pediatric Nutrition, Inc.

  • Pediatric Nutrition Registered Dietitian
  • Woodstock, GA
National Provider Identifier
1558096479
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nutrition Registered DietitianTaxonomy code 133VN1004X
Legal business name
ATLANTA PEDIATRIC NUTRITION, INC.
Practice address
140 Rocky Creek TRL
Woodstock, GA 30188-6246
Phone
(404) 543-3897
Fax
(404) 745-0808
NPI assigned
Jul 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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

Authorized official

Name
Mrs. Helen Bailey Koch, RD, CSP, LDNPI 1447462411
Title
President
Phone
(404) 543-3897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nutrition Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133VN1004X Primary

Addresses

Primary practice location

140 Rocky Creek TRL
Woodstock, GA 30188-6246

Mailing address

140 Rocky Creek TRL
Woodstock, GA 30188-6246
Phone (404) 543-3897

National Provider Directory

National Provider Directory

Locations

993 Johnson Fy Rd NE
Ste D440
Sandy Springs, GA 30342
Phone (404) 257-0799

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658620800000",
    "number": "1558096479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ROCKY CREEK TRL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886246",
            "telephone_number": "404-543-3897",
            "fax_number": "404-745-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ROCKY CREEK TRL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301886246",
            "telephone_number": "404-543-3897",
            "fax_number": "404-745-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PEDIATRIC NUTRITION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-543-3897",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, CSP, LD"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

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