Active NPI
Kelly Ann Franckowiak, RD
- Registered Dietitian
- Woodstock, GA
National Provider Identifier
1649363847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD002551
- Practice address
- 2001 Professional Pkwy
Suite 200
Woodstock, GA 30188-6442 - Phone
- (770) 516-0552
- Fax
- (770) 516-0554
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LD002551 | GA | Primary |
Addresses
Primary practice location
2001 Professional Pkwy
Suite 200
Woodstock, GA 30188-6442
Mailing address
227 Riverstone Dr
Canton, GA 30114-5256
Phone (770) 720-7733
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000979756B | Medicaid | GA | |
| 000979756D | Medicaid | GA | |
| LD002551 | Other | GA | STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002551 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Women's Health Specialist, P.C. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10039275
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Canton, GA
- NPI 1720115389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1649363847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 RIVERSTONE DR",
"city": "CANTON",
"state": "GA",
"postal_code": "301145256",
"telephone_number": "770-720-7733",
"fax_number": "770-704-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 PROFESSIONAL PKWY",
"address_2": "SUITE 200",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301886442",
"telephone_number": "770-516-0552",
"fax_number": "770-516-0554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRANCKOWIAK",
"first_name": "KELLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000979756B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000979756D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "LD002551",
"state": "GA"
}
],
"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 Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.