NPIMap

Organization Active NPI

Optimal Plan Nutrition, LLC.

  • Registered Dietitian
  • Peachtree City, GA
National Provider Identifier
1902566557
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
OPTIMAL PLAN NUTRITION, LLC.
Practice address
145 Governors SQ Ste a
Peachtree City, GA 30269-4861
Phone
(404) 509-1195
NPI assigned
Dec 22, 2021
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Gregory Lafortune, MS, RDNNPI 1730849381
Title
Owner
Phone
(404) 509-1195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

145 Governors SQ Ste a
Peachtree City, GA 30269-4861

Mailing address

947 Salisbury TRL
Riverdale, GA 30296-1549
Phone (404) 509-1195

Other names 2

  • Clocked In Wellness, LLC. Former legal business name
  • Greg's Optimized Nutrition, LLC Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1902566557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 SALISBURY TRL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302961549",
            "telephone_number": "404-509-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GOVERNORS SQ STE A",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694861",
            "telephone_number": "404-509-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PLAN NUTRITION, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2023-10-31",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "LAFORTUNE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-509-1195",
        "authorized_official_credential": "MS, RDN"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clocked In Wellness, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Greg's Optimized Nutrition, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Greg's Optimized Nutrition, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.