Active NPI
Berdena McGhee Perry, RD, LDN
- Registered Dietitian
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004602
- Practice address
- 3724 Jefferson St Ste 104
Austin, TX 78731-6204 - Phone
- (520) 419-1359
- NPI assigned
- Oct 30, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L004118 | NC | |
| Registered Dietitian | 133V00000X | LD004602 | GA | Primary |
Addresses
Primary practice location
3724 Jefferson St Ste 104
Austin, TX 78731-6204
Mailing address
2208 Breckenbridge Ave
Augusta, GA 30904-5036
Other practice location 1
1164B Nicklaus Dr
Greenville, NC 27834-8029
Phone (520) 419-1359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TX
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3724 Jefferson St
Suite 104
Austin, TX 78731-6204
Phone (512) 693-7045
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L004118 | NC | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourish, Inc. | Dietitian, Registered | Current | Accepting new patients |
Locations
2100 Southbridge Pkwy
Ste 650
Homewood, AL 35209
Phone (205) 533-8902
515 S Flower St
#1015
Los Angeles, CA 90071
260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870
525 N Tryon St
Ste 1600
Charlotte, NC 28202
Phone (855) 478-8208
500 Westover Dr
Sanford, NC 27330
Phone (478) 766-4000
1320 Main St
Ste 300
Columbia, SC 29201
Phone (803) 386-1541
3724 Jefferson St
Ste 104
Austin, TX 78731
Phone (512) 399-9039
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": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1861897019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 BRECKENBRIDGE AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309045036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3724 JEFFERSON ST STE 104",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316204",
"telephone_number": "520-419-1359"
}
],
"practiceLocations": [
{
"address_1": "1164B Nicklaus Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278348029",
"country_code": "US",
"telephone_number": "520-419-1359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "BERDENA",
"middle_name": "MCGHEE",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L004118",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.