Active NPI
Nina German Hall, PHD, RD, LD/N
- Registered Dietitian
- McDonough, GA
National Provider Identifier
1902212467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003454
- Practice address
- 369 Interlake Pass
McDonough, GA 30252-8056 - Phone
- (678) 763-5769
- NPI assigned
- Jul 6, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | LD003454 | GA | Primary |
Addresses
Primary practice location
369 Interlake Pass
McDonough, GA 30252-8056
Mailing address
369 Interlake Pass
McDonough, GA 30252-8056
Phone (770) 914-7056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200918002523 | GA | Practitioner - Registered Dietitian Or Nutrition Professional | 0648698860 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
369 Interlake Pass
McDonough, GA 30252-8056
Phone (678) 763-5769
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nina'S Nutritional Values, LLC | Dietitian, Registered | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Registered Dietitian
- McDonough, GA
- NPI 1376051268
Dietitian, Registered, GA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404604800000",
"number": "1902212467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "369 INTERLAKE PASS",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302528056",
"telephone_number": "770-914-7056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 INTERLAKE PASS",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302528056",
"telephone_number": "678-763-5769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "NINA",
"middle_name": "GERMAN",
"name_prefix": "Mrs.",
"credential": "PHD, RD, LD/N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-06",
"last_updated": "2014-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2014; 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.