Individual provider Active NPI

Wendy Winkleman Roberts, RDN, LDN

  • Registered Dietitian
  • Smyrna, GA
National Provider Identifier
1659042497
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
002759 Issued in GA
Practice address
4201 Deerwood Pkwy SE
Smyrna, GA 30082-3929
Phone
(404) 808-8268
NPI assigned
Sep 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 002759 GA Primary

Addresses

Primary practice location

4201 Deerwood Pkwy SE
Smyrna, GA 30082-3929

Mailing address

4201 Deerwood Pkwy SE
Smyrna, GA 30082-3929
Phone (404) 808-8268

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://wendy-roberts.clientsecure.me/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220328000877 GA Practitioner - Registered Dietitian Or Nutrition Professional 9739574872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
002759GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Ruth Medical Center LLC CurrentSince Feb 25, 2026 Accepting new patients
Nourish, Inc. Dietitian, Registered Past Accepting new patients

Locations

10494 Veterans Memorial Hwy
Ste 5
Lithia Springs, GA 30122
Phone (404) 793-3806

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1659042497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 DEERWOOD PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823929",
            "telephone_number": "404-808-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 DEERWOOD PKWY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823929",
            "telephone_number": "404-808-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "WENDY",
        "middle_name": "WINKLEMAN",
        "credential": "RDN, LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "002759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://wendy-roberts.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "Client Portal that is secure and protected via my Simple Practice account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure client portal",
            "address_1": "4201 Deerwood Pkwy SE",
            "city": "Smyrna",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300823929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.