William Mubanda

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD002983 Issued in GA

Practice address

1294 Highway 515 E
Blairsville, GA 30512-8599

Phone

(404) 321-6111

NPI assigned

Sep 23, 2014

Last updated

May 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1609278407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1294 HIGHWAY 515 E",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128599",
            "telephone_number": "404-321-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 HIGHWAY 515 E",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305128599",
            "telephone_number": "404-321-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUBANDA",
        "first_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-23",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L003748",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Blairsville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1294 Highway 515 E",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305128599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicholas J Miller
• Willis E Moody III, M.D.
• Sarah Grace Morgan
• Mountain Eye Care, PC
• Mountain HHA, LLC (Mountain Home Health)
• Ziyad H Mugharbil, MD
• Jennifer Rose Mullinax, MD
• Clay Michael Musselman
• Laci Jamison Myers, M.D.
• Jacqueline Renee Narczewski, RADIOLOGY TECH

• Registered Dietitian in Blairsville, GA
• Providers in Blairsville, 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 28, 2020; 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.