Individual provider Active NPI

Virginia Kirkland, RD, LD, CECES

  • Registered Dietitian
  • Colquitt, GA
National Provider Identifier
1902793722
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD001136 Issued in GA
Practice address
209 N Cuthbert St
Colquitt, GA 39837-3518
Phone
(229) 281-6107
Fax
(229) 281-6097
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD001136 GA Primary

Addresses

Primary practice location

209 N Cuthbert St
Colquitt, GA 39837-3518

Mailing address

209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 281-6107

Other practice location 1

208 N Cuthbert St
Colquitt, GA 39837-3517
Phone (229) 758-6604

Other names 1

  • Virginia Lanier Former name

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

LicenseStateTypeSpecialty
LD001136GAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1902793722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-281-6107",
            "fax_number": "229-281-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N CUTHBERT ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373518",
            "telephone_number": "229-281-6107",
            "fax_number": "229-281-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 N Cuthbert St",
            "address_purpose": "LOCATION",
            "city": "Colquitt",
            "state": "GA",
            "postal_code": "398373517",
            "country_code": "US",
            "telephone_number": "229-758-6604",
            "fax_number": "229-758-6604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "VIRGINIA",
        "credential": "RD, LD, CECES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "LANIER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colquitt, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.