Susan Teresa Tocher, RD, LD
Individual provider Active NPI Registered Dietitian · Holly Springs, GA
NPI 1962875427 · NPPES record last updated Dec 18, 2020
Key facts
- NPI
- 1962875427
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD001845 (GA)
- Practice address
- 684 Sixes Rd Ste 265
Holly Springs, GA 30115-8720 - Phone
- (770) 720-2221
- Fax
- (770) 720-2282
- NPI assigned
- Nov 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
135 Beechwood TRL
Roswell, GA 30075-2309
Phone (404) 375-4896
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230309002878 | GA | Practitioner - Registered Dietitian Or Nutrition Professional | 9537460548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD001845 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nourishing Notions, LLC | Dietitian, Registered | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD001845 | GA | Yes |
Addresses
Primary practice location
684 Sixes Rd Ste 265
Holly Springs, GA 30115-8720
Mailing address
1110 W Peachtree St NW Ste 1100
Atlanta, GA 30309-3609
Phone (404) 892-2131
Other practice location 1
3400 Old Milton Pkwy Ste C500
Alpharetta, GA 30005-4408
Phone (678) 775-2284
Other practice location 2
6135 Barfield Rd Ste 200
Atlanta, GA 30328-4308
Phone (404) 256-8500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806421 | Other | GA | RDN |
| 001845 | Other | GA | LICENSED DIETITIAN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laureatemedicalgroup@lmg.allscriptsdirect.net | Direct | |
| Direct Messaging Address | laureatemedicalgroup@lmg.allscriptsdirect.net | Direct | |
| Direct Messaging Address | laureatemedicalgroup@lmg.allscriptsdirect.net | Direct |
Other providers in Holly Springs, GA
- Antenet Nichelle Simpson
- Stephen D. Skjei
- Mianna Mantooth Smith
- Debra W. Thompson
- Andrew Holding Thornton
- Hannah Van Weele
- Wal-Mart Stores East LP
- Wal-Mart Stores East, LP
- Walgreen Co
- Walgreen Co
All providers in Holly Springs, GA · Registered Dietitian in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.