Active NPI
Lauren Cobb
- Registered Dietitian
- Callahan, FL
National Provider Identifier
1891379418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 45001 Revere St
Callahan, FL 32011-5585 - Phone
- (352) 699-1620
- NPI assigned
- May 10, 2021
- Last updated
- Oct 18, 2023
- Sex
- Female
- 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 | Primary |
Addresses
Primary practice location
45001 Revere St
Callahan, FL 32011-5585
Mailing address
PO Box 905
Callahan, FL 32011-0905
Phone (352) 699-1620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NHW of Ga LLC | Dietitian, Registered | Current | Accepting new patients |
| Eat Well With Gina, LLC | Dietitian, Registered | Past | Accepting new patients |
Locations
2110 E Victory Dr
Savannah, GA 31404
7805 Waters Ave
Ste 7A
Savannah, GA 31406
Phone (912) 355-8040
172 Williamson Rd
Unit 5205
Mooresville, NC 28117
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.