Active NPI
Northwest Georgia Regional Commission Area Agency
- Registered Dietitian
- Rome, GA
National Provider Identifier
1760959175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen L Reeves, RD, LD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003181509 | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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
- Northwest Georgia Behavioral Health
- Northwest Georgia Dermatology & Skin Surgery Center PC
- Northwest Georgia Medical Clinic 2LLC
- Northwest Georgia Medical Clinic, P.C.
- Northwest Georgia Psychological Associates, LLC
- Novus Orthodontics of Georgia LLC
- Daphne Nicholson Nutter, PTA
- NW Ga Regional Hospital
- NW Ga Regional Hospital
- NW Ga Regional Hospital
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.