NPIMap

Organization Active NPI

Summer Nutrition, LLC

  • Health Service Clinic/Center
  • Atlanta, GA
National Provider Identifier
1679145874
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SUMMER NUTRITION, LLC
Practice address
7007 Kingswood Run Dr
Atlanta, GA 30340-1865
Phone
(347) 399-8489
NPI assigned
Jul 15, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Mina Xia, RDNPI 1588265839
Title
Dietitian
Phone
(347) 399-8489

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

7007 Kingswood Run Dr
Atlanta, GA 30340-1865

Mailing address

7007 Kingswood Run Dr
Atlanta, GA 30340-1865
Phone (347) 399-8489

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1679145874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7007 KINGSWOOD RUN DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303401865",
            "telephone_number": "347-399-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7007 KINGSWOOD RUN DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303401865",
            "telephone_number": "347-399-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER NUTRITION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "XIA",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "DIETITIAN",
        "authorized_official_telephone_number": "347-399-8489",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "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 Aug 30, 2021; 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.