Active NPI
Nathan Schober, RD
- Registered Dietitian
- Newnan, GA
National Provider Identifier
1871053108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD004093
- Practice address
- 600 Celebrate Life Pkwy
Newnan, GA 30265-8001 - Phone
- (770) 400-6279
- NPI assigned
- Mar 22, 2019
- Last updated
- Mar 22, 2019
- 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 | LD004093 | GA | Primary |
Addresses
Primary practice location
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Mailing address
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6279
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 |
|---|---|---|---|
| LD004093 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553212800000",
"number": "1871053108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CELEBRATE LIFE PKWY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658001",
"telephone_number": "770-400-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CELEBRATE LIFE PKWY",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658001",
"telephone_number": "770-400-6279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOBER",
"first_name": "NATHAN",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2019-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD004093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.