Organization Active NPI

Northwest Georgia Regional Commission Area Agency

  • Registered Dietitian
  • Rome, GA
National Provider Identifier
1760959175
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
NORTHWEST GEORGIA REGIONAL COMMISSION AREA AGENCY
Practice address
1 Jackson Hill Dr NE
Rome, GA 30161-5205
Phone
(706) 295-6485
NPI assigned
Oct 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Authorized official

Name
Mrs. Karen L Reeves, RD, LDNPI 1568946689
Title
Director, Area Agency on Aging
Phone
(706) 295-6485

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

1 Jackson Hill Dr NE
Rome, GA 30161-5205

Mailing address

PO Box 1798
Rome, GA 30162-1798
Phone (706) 295-6485

Other identifiers 1

IdentifierTypeStateIssuer
003181509MedicaidGA

National Provider Directory

National Provider Directory

Locations

3 Jackson Hill Dr NE
Rome, GA 30161
Phone (706) 295-6485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540339200000",
    "number": "1760959175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1798",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301621798",
            "telephone_number": "706-295-6485",
            "fax_number": "706-802-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JACKSON HILL DR NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301615205",
            "telephone_number": "706-295-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST GEORGIA REGIONAL COMMISSION AREA AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-10-24",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR, AREA AGENCY ON AGING",
        "authorized_official_telephone_number": "706-295-6485",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003181509",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.