Nutritionmagic, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000961 Issued in GA

Legal business name

NUTRITIONMAGIC, INC.

Practice address

11563 Big Canoe
4054 Soaring Hawk Circle
Big Canoe, GA 30143-5115

Phone

(706) 579-1992

Fax

(866) 900-4295

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Caroline Lafontaine, MA,RD,LD

Title

President

Phone

(706) 579-1992

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1811229487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11563 BIG CANOE",
            "address_2": "4054 SOARING HAWK CIRCLE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435115",
            "telephone_number": "706-579-1992",
            "fax_number": "866-900-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11563 BIG CANOE",
            "address_2": "4054 SOARING HAWK CIRCLE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435115",
            "telephone_number": "706-579-1992",
            "fax_number": "866-900-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUTRITIONMAGIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "LAFONTAINE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CAROLINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-579-1992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA,RD,LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Perry Brannen, CCC,SLP
• Robert Michael Cargile, M.D.
• Charles Dudleigh Hackett, PH.D.
• Ann Caroline Lafontaine, MA, RD, LD
• Elizabeth Harman Mauldin, LCSW
• Sally Ragonesi, P.T.
• Samuel Relyea
• John Wayne Ross, MD
• Matthew Jeffrey Smolen, DC
• William Benjamin Zinney, DDS

• Registered Dietitian in Big Canoe, GA
• Providers in Big Canoe, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; 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.