Individual provider Active NPI

Jessie Godwin Wright, MS,RD,LD,CSR

  • Registered Dietitian
  • Columbus, GA
National Provider Identifier
1801080700
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
95 Issued in GA
Practice address
3025 University Ave
Suite C-1
Columbus, GA 31907-2101
Phone
(706) 563-5783
Fax
(706) 561-5838
NPI assigned
Sep 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 95 GA Primary
Registered Dietitian 133V00000X 514 AL

Addresses

Primary practice location

3025 University Ave
Suite C-1
Columbus, GA 31907-2101

Mailing address

PO Box 5532
Columbus, GA 31906-0532
Phone (706) 563-5783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000127 GA Practitioner - Registered Dietitian Or Nutrition Professional 0143219717 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
514ALMDRegistered Dietitian
95GAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Nutrition Management Services, Inc. Dietitian, Registered CurrentSince Apr 29, 1985 Accepting new patients
Senior Connections, Inc Past Accepting new patients

Locations

3025 University Ave
Ste C1
Columbus, GA 31907
Phone (706) 563-5783

Organizations & group practices 2

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": "1188864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1801080700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5532",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319060532",
            "telephone_number": "706-563-5783",
            "fax_number": "706-561-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 UNIVERSITY AVE",
            "address_2": "SUITE C-1",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319072101",
            "telephone_number": "706-563-5783",
            "fax_number": "706-561-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JESSIE",
        "middle_name": "GODWIN",
        "name_prefix": "Ms.",
        "credential": "MS,RD,LD,CSR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "95",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "AL",
            "license": "514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.