Kelly Cleerdin Barrett, RDN, LDN
Individual provider Active NPI Registered Dietitian · Cumming, GA
NPI 1760013734 · NPPES record last updated Aug 23, 2025
Key facts
- NPI
- 1760013734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD007209 (GA)
- Practice address
- 1200 Northside Forsyth Dr
Cumming, GA 30041-7659 - Phone
- (770) 844-3200
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220709000634 | FL | Practitioner - Registered Dietitian Or Nutrition Professional | 2264812163 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD007209 | FL | MD | Registered Dietitian |
| LD007209 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian River Health Services Inc | Current |
Accepting new patients | |
| Indian River Health Services Inc | Current |
Accepting new patients |
Locations
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1000 36th St
Ste 5105
Vero Beach, FL 32960
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD007209 | GA | Yes |
| Registered Dietitian | 133V00000X | LD007209 | FL |
Addresses
Primary practice location
1200 Northside Forsyth Dr
Cumming, GA 30041-7659
Mailing address
171 9TH Dr
Vero Beach, FL 32962-2815
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ND8504 | Other | FL | FLORIDA STATE DIETITIAN LICENSE |
| LD007209 | Other | GA | GEORGIA STATE DIETITIAN LICENSE |
Other providers in Cumming, GA
- Ronald Mark Barnes
- Jocelyn Barnett
- Jaclyn Barnum
- Natalia Barrero
- Justin Barrett
- Robert Ross Barrett
- Abigail Barron
- Allyssa Reburiano Barron
- Haley Bartlett
- Danielle Nicole Barto
All providers in Cumming, 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 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.