Active NPI
Maegan Elizabeth Pharis, M.S, R.D, L.D
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1558706010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003758
- Practice address
- 1708 Peachtree St NW
Ste 525
Atlanta, GA 30309-2434 - Phone
- (678) 471-5815
- NPI assigned
- May 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD003758 | GA | Primary |
Addresses
Primary practice location
1708 Peachtree St NW
Ste 525
Atlanta, GA 30309-2434
Mailing address
737 Barnett St NE Apt A1
Atlanta, GA 30306-4113
Phone (678) 471-5815
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD003758 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368057600000",
"number": "1558706010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 BARNETT ST NE APT A1",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303064113",
"telephone_number": "678-471-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1708 PEACHTREE ST NW",
"address_2": "STE 525",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303092434",
"telephone_number": "678-471-5815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHARIS",
"first_name": "MAEGAN",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "M.S, R.D, L.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-09",
"last_updated": "2013-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003758",
"primary": true
}
],
"identifiers": [],
"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 May 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.