Individual provider Active NPI

Adelina Paduraru, MS, RD, LD

  • Registered Dietitian
  • Braselton, GA
National Provider Identifier
1780304501
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Practice address
5670 Old Winder Hwy Ste 101
Braselton, GA 30517-1239
Phone
(770) 709-6922
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X Primary

Addresses

Primary practice location

5670 Old Winder Hwy Ste 101
Braselton, GA 30517-1239

Mailing address

804 Holders Siding Rd
Jefferson, GA 30549-2712
Phone (678) 862-4531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Pandya Medical Center, Inc CurrentSince Sep 24, 2024 Accepting new patients

Locations

5670 Old Winder Hwy
Ste 101
Braselton, GA 30517
Phone (770) 709-6922

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8348/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1780304501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 HOLDERS SIDING RD",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305492712",
            "telephone_number": "678-862-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 OLD WINDER HWY STE 101",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305171239",
            "telephone_number": "770-709-6922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADURARU",
        "first_name": "ADELINA",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.