Organization Active NPI

Living Renewed, Inc.

  • Registered Dietitian
  • Dacula, GA
National Provider Identifier
1790296804
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
LIVING RENEWED, INC.
Practice address
1862 Auburn Rd Ste 118-Q5
Dacula, GA 30019-1676
Phone
(770) 744-1995
Fax
(770) 766-4439
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Cheryl Mitchell, MS, RDN, LD, IFNCPNPI 1053474767
Title
President, Owner
Phone
(770) 744-1995

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

1862 Auburn Rd Ste 118-Q5
Dacula, GA 30019-1676

Mailing address

PO Box 1715
Buford, GA 30515-8715
Phone (770) 744-1995

Other names 1

  • Health Insights, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

2550 Hamilton Mill Rd
Ste 13
Buford, GA 30519

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1790296804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1715",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305158715",
            "telephone_number": "770-744-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1862 AUBURN RD STE 118-Q5",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191676",
            "telephone_number": "770-744-1995",
            "fax_number": "770-766-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING RENEWED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "770-744-1995",
        "authorized_official_credential": "MS, RDN, LD, IFNCP"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Insights, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.