Active NPI
Chandler W Knox, RDN
- Registered Dietitian
- Decatur, GA
National Provider Identifier
1861200396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD005354
- Practice address
- 116 E Howard Ave
Decatur, GA 30030-3345 - Phone
- (678) 568-4117
- NPI assigned
- Dec 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD005354 | GA | Primary |
Addresses
Primary practice location
116 E Howard Ave
Decatur, GA 30030-3345
Mailing address
116 E Howard Ave
Decatur, GA 30030-3345
Phone (678) 568-4717
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 |
|---|---|---|---|
| LD005354 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735516800000",
"number": "1861200396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 E HOWARD AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303345",
"telephone_number": "678-568-4717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 E HOWARD AVE",
"city": "DECATUR",
"state": "GA",
"postal_code": "300303345",
"telephone_number": "678-568-4117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOX",
"first_name": "CHANDLER",
"middle_name": "W",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-30",
"last_updated": "2024-12-30",
"certification_date": "2024-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD005354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.