WHOLE NUTRITION, LLC (NPI# 1568087245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568087245 |
| Entity Type | Organization |
| Organization Name | WHOLE NUTRITION, LLC |
| Practice Address |
416 Lake Forest Dr Newnan GA 30265-3373 |
| Practice Telephone | 7703248492 |
| Mailing Telephone | 7703248492 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | AMANDA ELIZABETH MCCLOSKEY (REGISTERED DIETITIAN) |
| Authorized Official Telephone | 7703248492 |
| Authorized Official Credential | RD, LD, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Street Address |
416 LAKE FOREST DR |
| City | NEWNAN |
| State | GA |
| Zip Code | 30265-3373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174877682 | Deecie Mann Wilbanks | Speech-Language Pathologist | 416 Lake Forest Dr, Newnan, GA 30265-3373 | 2012-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265041537 | Shiva Bazargan | Pharmacist | 3116 Sr 34 West, Newnan, GA 30265 | 2020-07-23 |
| 1992322549 | Doctorsbeyond Inc. | Clinic/Center | 277 Skyview Court, Newnan, GA 30265 | 2020-06-30 |
| 1225652936 | Jerrica Conyers | Nurse Practitioner | 1635 Highwat 34 East Suite C, Newnan, GA 30265 | 2020-05-29 |
| 1982234688 | Morgan Elizabeth Bross | Physician Assistant | 1825 Ga- 34, Newnan, GA 30265 | 2020-01-22 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1518528116 | Stepping Stones Psychiatric Care LLC | Nurse Practitioner | 3025 Sharpsburg Mccullum Rd, Building B Suite 103, Newnan, GA 30265 | 2019-06-25 |
| 1356823363 | Stephen William Jacon | Specialist/Technologist | 29 Muirfield Court, Newnan, GA 30265 | 2018-09-05 |
| 1881176832 | Blueprint Psychiatry, LLC | Psychiatry & Neurology | 1601 Highway 34 E Ste A, Newnan, GA 30265 | 2018-09-05 |
| 1548790769 | Timothy Collins | Physical Therapist | 1755 Ga-34, Suite 1300, Rehab Department, Newnan, GA 30265 | 2017-06-20 |
| 1497289748 | Edible Health & Wellness,llc | Clinic/Center | 90f Glenda Trace Pmb 318, Newnan, GA 30265 | 2017-04-13 |
| Find all providers in zip 30265 | ||||
| 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 |
|---|---|---|---|---|
| 1114944295 | Christine E Issa | Dietitian, Registered | 220 Peninsula Cir, Nutrition Counseling Services, Newnan, GA 30263-7035 | 2006-07-16 |
| 1144226333 | Erin Elizabeth Jerger | Dietitian, Registered | 105 Lake Cove Approach, Newnan, GA 30265-5932 | 2005-06-22 |
| 1457970881 | Brittany Lear | Dietitian, Registered | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2020-04-15 |
| 1144780131 | Andrea Laney | Dietitian, Registered | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2019-03-25 |
| 1114487196 | Ora Charita Lewis Griskell | Dietitian, Registered | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2019-03-25 |
| 1831659812 | Holly Edwards | Dietitian, Registered | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2019-03-25 |
| 1063972032 | Andrea Marie Swartz | Dietitian, Registered | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2019-03-25 |
| 1356801625 | Bethany Wheeling | Dietitian, Registered | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2019-03-22 |
| 1871053108 | Nathan Schober | Dietitian, Registered | 600 Celebrate Life Pkwy, Newnan, GA 30265-8001 | 2019-03-22 |
| 1568761880 | Maureen A Geboy | Dietitian, Registered | 137 Jackson St, Newnan, GA 30263-1572 | 2011-03-25 |
| Find all providers in NEWNAN | ||||
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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.