The Georgia Renal Dietitian LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

THE GEORGIA RENAL DIETITIAN LLC

Doing business as

The Georgia Renal Dietitian LLC

Practice address

2108 Brookhaven View NE
Atlanta, GA 30319-3195

Phone

(678) 665-1244

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Angela Yvonne Morton, MS,RD,CSR,LD,CNSC

Title

Owner/Dietitian

Phone

(404) 387-4992

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• The Georgia Renal Dietitian LLC Doing business as
• The Georgia Renal Dietitian Other name

Electronic endpoints 1

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616284800000",
    "number": "1760079180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 BROOKHAVEN VIEW NE",
            "address_2": "APT 2108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193195",
            "telephone_number": "404-387-4992",
            "fax_number": "404-506-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 BROOKHAVEN VIEW NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303193195",
            "telephone_number": "678-665-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGIA RENAL DIETITIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2021-03-21",
        "certification_date": "2021-03-21",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER/DIETITIAN",
        "authorized_official_telephone_number": "404-387-4992",
        "authorized_official_credential": "MS,RD,CSR,LD,CNSC"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1821693177",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.efaxcorporate.com",
            "affiliation": "N",
            "endpointDescription": "efax",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "referrals and labs",
            "address_1": "2108 Brookhaven View Ne",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303193195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Georgia Renal Dietitian LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Georgia Renal Dietitian",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.