Active NPI
Terri Lynne Duncan
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1891525960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD000646
- Practice address
- 993 Johnson Ferry Rd
Atlanta, GA 30342-1620 - Phone
- (678) 414-2122
- NPI assigned
- Aug 5, 2024
- 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 | LD000646 | GA | Primary |
Addresses
Primary practice location
993 Johnson Ferry Rd
Atlanta, GA 30342-1620
Mailing address
2850 Cressington BND NW
Kennesaw, GA 30144-6091
Phone (678) 414-2122
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD000646 | GA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1891525960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 CRESSINGTON BND NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301446091",
"telephone_number": "678-414-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "993 JOHNSON FERRY RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421620",
"telephone_number": "678-414-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNCAN",
"first_name": "TERRI",
"middle_name": "LYNNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-05",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD000646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.