Organization Active NPI

Diabetes Association of Atlanta

  • Registered Dietitian
  • Atlanta, GA
National Provider Identifier
1952432700
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
71BBBRG Issued in GA
Legal business name
DIABETES ASSOCIATION OF ATLANTA
Practice address
100 Edgewood Ave NE
Suite 1004
Atlanta, GA 30303-3026
Phone
(404) 572-7150
Fax
(404) 527-7149
NPI assigned
Mar 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carol J Davis
Title
Executive Director
Phone
(404) 527-7150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 71BBBRG GA Primary

Addresses

Primary practice location

100 Edgewood Ave NE
Suite 1004
Atlanta, GA 30303-3026

Mailing address

100 Edgewood Ave NE
Suite 1004
Atlanta, GA 30303-3026
Phone (404) 572-7150

National Provider Directory

National Provider Directory

Locations

100 Edgewood Ave NE
Ste 1004
Atlanta, GA 30303
Phone (404) 527-7150

678 S Cobb Dr SE
Marietta, GA 30060

678 S Cobb Dr SE
Ste 200
Marietta, GA 30060
Phone (404) 527-7150

3000 Hospital Blvd
#C
Roswell, GA 30076
Phone (404) 527-7150

Practitioners & affiliated clinicians

Practitioners 4

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": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952432700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "address_2": "SUITE 1004",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-572-7150",
            "fax_number": "404-527-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 EDGEWOOD AVE NE",
            "address_2": "SUITE 1004",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033026",
            "telephone_number": "404-572-7150",
            "fax_number": "404-527-7149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES ASSOCIATION OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-527-7150"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "71BBBRG",
            "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 22, 2020; 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.