CHAD WESLEY EISENHART (NPI# 1306473400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306473400 |
| Entity Type | Individual |
| Full Name | CHAD WESLEY EISENHART |
| Credential | RDN, LDN |
| Practice Address |
3018 N Patterson St Valdosta GA 31602-1711 |
| Practice Telephone | 2294337200 |
| Practice Fax Number | 2294337235 |
| Mailing Telephone | 2294337200 |
| Mailing Fax Number | 2294337235 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD005137 | GA | Dietary & Nutritional Service Providers |
| Street Address |
3018 N PATTERSON ST |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083835227 | Anita D. Sinnott | Nurse Practitioner | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2007-05-02 |
| 1720451982 | Windy Giddens | Nurse Practitioner | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2015-11-09 |
| 1720408065 | Jaanki Purohit | Dietitian, Registered | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2014-04-25 |
| 1851672992 | Jodi Kimbell Seabrook | Dietitian, Registered | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2011-09-02 |
| 1104024777 | Lela Faircloth Allen | Physician Assistant | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780936815 | Tiffany Kay Walker | Dietitian, Registered | 300 Ridgeland Dr, Valdosta, GA 31602-7846 | 2012-10-13 |
| 1033343785 | Denise K. Fields | Dietitian, Registered | 733 Lake Laurie Dr, Valdosta, GA 31605-6421 | 2009-05-11 |
| 1588214597 | Denise Fields, Rdn, LLC | Dietitian, Registered | 2804 N Oak St Ste C, Valdosta, GA 31602-5913 | 2019-09-12 |
| 1912350877 | Sandra H Stuart | Dietitian, Registered | 3278 Mitchell Blvd, 23d Medical Group, Valdosta, GA 31699 | 2016-07-15 |
| 1720408065 | Jaanki Purohit | Dietitian, Registered | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2014-04-25 |
| 1154696573 | Mary Gerber | Dietitian, Registered | 206 S Patterson St, Valdosta, GA 31601-5668 | 2012-03-19 |
| 1851672992 | Jodi Kimbell Seabrook | Dietitian, Registered | 3018 N Patterson St, Valdosta, GA 31602-1711 | 2011-09-02 |
| 1154555803 | Holly L. Rountree | Dietitian, Registered | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2009-05-11 |
| 1154359644 | Katherine M Sommer | Dietitian, Registered | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2006-06-30 |
| 1134160278 | Barbara P Lane | Dietitian, Registered | 2501 N Patterson St, Valdosta, GA 31602-1735 | 2006-06-09 |
| Find all providers in VALDOSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.