Active NPI
Rhonda Mack James, RD
- Registered Dietitian
- Vidalia, GA
National Provider Identifier
1861516908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 726660
- Practice address
- 1703 Meadows LN
Vidalia, GA 30474-8915 - Phone
- (912) 538-5569
- Fax
- (912) 538-5548
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 726660 | GA | Primary |
Addresses
Primary practice location
1703 Meadows LN
Vidalia, GA 30474-8915
Mailing address
4171 John W Burroughs Rd
Collins, GA 30421-8851
Phone (912) 693-2017
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 726660 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861516908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4171 JOHN W BURROUGHS RD",
"city": "COLLINS",
"state": "GA",
"postal_code": "304218851",
"telephone_number": "912-693-2017",
"fax_number": "912-538-5548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 MEADOWS LN",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748915",
"telephone_number": "912-538-5569",
"fax_number": "912-538-5548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "RHONDA",
"middle_name": "MACK",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "726660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vidalia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.