STACY M. SMITH


Address: 261 Parkway Dr Ne, Atlanta, GA 30312-1210
Phone: 4042656468

STACY M. SMITH (NPI# 1255532495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255532495
Entity Type Individual
Full Name STACY M. SMITH
Credential RD,LD
Practice Address 261 Parkway Dr Ne
Atlanta
GA 30312-1210
Mailing Address 3501 Waldrop Trl
Decatur
GA 30034-7463
Practice Telephone 4042656468
Mailing Telephone 4042292768
Enumeration Date 2007-05-29
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD002671 GA Dietary & Nutritional Service Providers

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1730583501 Stacy Lynn Smith Pharmacist 1017 W Haul Rd, Page, AZ 86040-0656 2014-10-22
1881953214 Stacy J Smith Occupational Therapist 10240 E Vicksburg St, Tucson, AZ 85748-3462 2012-05-04
1407139546 Stacy Marie Smith Registered Nurse 1310 E 7th St., Ste J, Auburn, IN 46706 2011-09-26
1306138235 Stacy Victoria Smith Psychiatry & Neurology 17183 Interstate 45 S Ste 690, Shenandoah, TX 77385-3317 2011-05-11
1871898858 Stacy Smith Counselor 100 South Ridge Road, Suite 201 C, Breckenridge, CO 80424 2011-01-21
1740476514 Stacy Ann Smith Counselor 4525 Draper Rd, Raleigh, NC 27616-5674 2007-09-14
1114057791 Stacy Smith Rehabilitation Practitioner 1411 N Grand Ave, 100, Covina, CA 91724-1001 2007-03-06

Office Location

Street Address 261 PARKWAY DR NE
City ATLANTA
State GA
Zip Code 30312-1210

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770108516 Bita Ranjbari Physician Assistant 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 2020-06-08
1609439629 Adeyinka Edward Adeniyi Student in an Organized Health Care Education/Training Program Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 2019-04-16
1003378670 James Spratt IIi Student in an Organized Health Care Education/Training Program 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 2019-04-03
1659833440 Derrick Edward Wendler Student in an Organized Health Care Education/Training Program Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 2019-04-02
1336631266 The Atlanta Small Business Training Consortium, Inc. Local Education Agency (LEA) 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 2018-06-06
1669960134 Derek Mccranie Student in an Organized Health Care Education/Training Program 303 Parkway Drive, Atlanta, FL 30312 2018-04-30
1336646223 Amy Ruth Williams Nurse Practitioner 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 2018-04-09
1730689183 Lisa Marie Margavage Chiropractor 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 2018-02-12
1922518836 Rodney Aldridge Registered Nurse 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 2017-10-05
1629599279 Huda Hashim Elsamani Elsheikh Student in an Organized Health Care Education/Training Program 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 2017-07-05
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Taxonomy Information

Taxonomy Code 133V00000X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104425107 Gabriella Schloss Dietitian, Registered 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 2020-10-21
1033716774 Shannon Busby Bagga Dietitian, Registered 1806 Dekalb Ave Ne, Atlanta, GA 30307 2020-10-06
1881291532 Noelle Yaeger Oleary Dietitian, Registered 2591 Birchwood Dr Ne, Atlanta, GA 30305-3819 2020-10-06
1215544937 Chelsi Brown Dietitian, Registered 1303 Hill St Se, Atlanta, GA 30315-2407 2020-09-27
1770190498 Susana Nicole Morphis Dietitian, Registered 379 Pine Tree Dr Ne, Atlanta, GA 30305-3414 2020-09-27
1538775960 Laura Lane Brown Dietitian, Registered 2042 Chastain Park Ct Ne, Atlanta, GA 30342-3235 2020-09-21
1689285108 Negin Navaei Dietitian, Registered 155 Smithdun Ln, Atlanta, GA 30350-4111 2020-08-10
1740899517 Wholesome Fuel, LLC Dietitian, Registered 985 Ponce De Leon Ave Ne Unit 310, Atlanta, GA 30306-4278 2020-07-28
1174158919 Marianella Anzola Dietitian, Registered Grady Brookhaven Health Center, 2695 Buford Hwy Ne 200, Atlanta, GA 30324 2020-03-11
1386279487 Luisa Hammett Dietitian, Registered 993d Johnson Fy Rd Ne # 440, Atlanta, GA 30342-1602 2020-03-09
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Competitor

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City ATLANTA
Zip Code 30312

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Dataset Information

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.

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