Active NPI
Reyana Ewing, RD
- Registered Dietitian
- Austell, GA
National Provider Identifier
1851629034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD005823
- Practice address
- 920 Tranquil Dr
Austell, GA 30106-1431 - Phone
- (404) 782-3548
- NPI assigned
- Nov 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD-D-10260774 | OR | |
| Registered Dietitian | 133V00000X | LD005823 | GA | Primary |
Addresses
Primary practice location
920 Tranquil Dr
Austell, GA 30106-1431
Mailing address
3950 Austell Rd
Austell, GA 30106-1121
Phone (470) 732-4119
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD005823 | GA | MD | Registered Dietitian |
| LD-D-10260774 | OR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Past | Accepting new patients |
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": "1259107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1851629034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3950 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061121",
"telephone_number": "470-732-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 TRANQUIL DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061431",
"telephone_number": "404-782-3548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING",
"first_name": "REYANA",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-25",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "LD-D-10260774",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.