Sally D. Lincoln, R.D., L.D., M.S.A.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1967 Issued in GA

Practice address

107 Medical Dr
Lagrange, GA 30240-4137

Phone

(706) 845-4035

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Troup County Board of Health

  • State or Local Public Health Clinic/Center
  • Lagrange, GA
  • NPI 1306838586
  NPD (past)
• Troup County Board of Health

  • State or Local Public Health Clinic/Center
  • Lagrange, GA
  • NPI 1912091661
  NPD (past)

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669467593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7727 HILLDALE DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319091627",
            "telephone_number": "706-660-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MEDICAL DR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404137",
            "telephone_number": "706-845-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "SALLY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "R.D., L.D., M.S.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "1967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giovanni Soto Lewis, APRN
• Sharell Monea Lewis, M.S., ATC, LAT
• LG Lagrange LLC
• Life Style Enhancement Centers
• Limbcare Prosthetics & Orthotics of Georgia Inc.
• Marquetta R Linder
• Jimmie Kyle Lindsey, PHARMD
• Breanna Lee Nicole Livingston
• Livwell Health LLC
• Regina Cuddington Lott

• Registered Dietitian in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.