Nicole Lynn Ayer, MS, RD, LDN
Individual provider Active NPI Registered Dietitian · Augusta, GA
NPI 1679305643 · NPPES record last updated Aug 17, 2024
Key facts
- NPI
- 1679305643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD006573 (GA)
- Practice address
- 6021 Sanibel Dr
Augusta, GA 30909-5781 - Phone
- (803) 539-1597
- NPI assigned
- Aug 17, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD006573 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marjorie Nolan Cohn LLC | Dietitian, Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD006573 | GA | Yes |
Addresses
Primary practice location
6021 Sanibel Dr
Augusta, GA 30909-5781
Mailing address
6021 Sanibel Dr
Augusta, GA 30909-5781
Phone (803) 539-1597
Other providers in Augusta, GA
- Michelle Mui-Xian Aw
- Jihene Ayadi
- Stacey Ayala
- Frances Steed Aycock
- Ayodele A Ayedun
- Russ R Ayers
- Ihab Azab
- Azalea Health Center by Harborview, LLC
- Azalee Homecare LLC
- Mohammad Umair Azam
All providers in Augusta, GA · Registered Dietitian in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.