Active NPI
Magon Saunders, DHSC,MS, RDN, LD
- Registered Dietitian
- Stone Mountain, GA
National Provider Identifier
1972994747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD002518
- Practice address
- 4739 Ruby Forrest Dr
Stone Mountain, GA 30083-4942 - Phone
- (404) 277-8754
- NPI assigned
- Feb 13, 2015
- 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 | LD002518 | GA | Primary |
Addresses
Primary practice location
4739 Ruby Forrest Dr
Stone Mountain, GA 30083-4942
Mailing address
4739 Ruby Forrest Dr
Stone Mountain, GA 30083-4942
Phone (404) 277-8754
Other names 1
- Magon Mbadugha
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD002518 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fay Nutrition | Dietitian, Registered | Past | Accepting new patients |
| Nutrition Directions, LLC | Dietitian, Registered | Past | Accepting new patients |
Organizations & group practices 2
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
- Stone Mountain, GA
- NPI 1023461787
Dietitian, Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1972994747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4739 RUBY FORREST DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300834942",
"telephone_number": "404-277-8754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4739 RUBY FORREST DR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300834942",
"telephone_number": "404-277-8754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAUNDERS",
"first_name": "MAGON",
"credential": "DHSC,MS, RDN, LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-13",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD002518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAGON",
"last_name": "MBADUGHA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.