Lauren Cobb – Registered Dietitian in Callahan, FL

Key facts

NPI: 1891379418
Entity type: Individual (NPI type 1)
Primary specialty: Registered Dietitian 133V00000X
Practice address: 45001 Revere St
Callahan, FL 32011-5585
Phone: (352) 699-1620
NPI assigned: May 10, 2021
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

NHW of Ga LLC Registered Dietitian · Savannah, GA · NPI 1528710704

Medicare reassignment NPD DIETITIAN, REGISTERED · GA
Eat Well With Gina, LLC Registered Dietitian · Easton, PA · NPI 1639598709

NPD (past) DIETITIAN, REGISTERED

Medicare participation

Medicare fee-for-service enrollment: Enrolled in GA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20231107003644	GA	Practitioner - Registered Dietitian Or Nutrition Professional	0749689255	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
NHW of Ga LLC	Dietitian, Registered	Current since Oct 1, 2023	Accepting new patients
Eat Well With Gina, LLC	Dietitian, Registered	Past	Accepting new patients

Locations

7805 Waters Ave
Ste 7A
Savannah, GA 31406
Phone (912) 355-8040

2110 E Victory Dr
Savannah, GA 31404

172 Williamson Rd
Unit 5205
Mooresville, NC 28117

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Registered Dietitian	133V00000X			Yes

Addresses

Primary practice location

45001 Revere St
Callahan, FL 32011-5585

Mailing address

PO Box 905
Callahan, FL 32011-0905
Phone (352) 699-1620

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 18, 2023.

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1891379418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320110905",
            "telephone_number": "352-699-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45001 REVERE ST",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320115585",
            "telephone_number": "352-699-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Callahan, FL

All providers in Callahan, FL · Registered Dietitian in Florida

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.