Individual provider Active NPI

Safa Nooromid, RD,LD

  • Renal Nutrition Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1891850657
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Nutrition Registered DietitianTaxonomy code 133VN1005X
License
LD002716 Issued in GA
Practice address
5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4740
Phone
(770) 971-9234
Fax
(770) 640-0222
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Nutrition Registered Dietitian 133VN1005X LD002716 GA Primary

Addresses

Primary practice location

5555 Glenridge Connector Ste 200
Atlanta, GA 30342-4740

Mailing address

974 Saint Lyonn CTS
Marietta, GA 30068-4532
Phone (770) 971-9234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000981 GA Practitioner - Registered Dietitian Or Nutrition Professional 4385689348 Practice locations: Atlanta, GA

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5671 Peachtree Dunwoody Rd
Suite 500
Atlanta, GA 30342-5019
Phone (404) 255-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nooromid Nutrition LLC Past Accepting new patients
Urban Family Practice Past Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1891850657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "974 SAINT LYONN CTS",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684532",
            "telephone_number": "770-971-9234",
            "fax_number": "770-640-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424740",
            "telephone_number": "770-971-9234",
            "fax_number": "770-640-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOOROMID",
        "first_name": "SAFA",
        "name_prefix": "Prof.",
        "credential": "RD,LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "GA",
            "license": "LD002716",
            "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 26, 2015; 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.

Verify at the official NPI Registry.