PAULETTE WILLIAMS (NPI# 1376735399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376735399 |
| Entity Type | Individual |
| Full Name | PAULETTE WILLIAMS |
| Credential | CDE, RD, & LD |
| Practice Address |
790 N Main St Suite 101 Clayton GA 30525-4275 |
| Mailing Address |
227 S Pendleton St Suite B Easley SC 29640-3047 |
| Practice Telephone | 4042346570 |
| Practice Fax Number | 7067821840 |
| Mailing Telephone | 8648557030 |
| Mailing Fax Number | 8648557019 |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2009-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD000046 | GA | Dietary & Nutritional Service Providers |
| N | 133V00000X | Dietitian, Registered | 315876 | GA | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PTAN/LEGACY | 71BBBWM | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487007464 | Paulette Williams | Dietitian, Registered | 1921 Avondale Ct, Locust Grove, GA 30248-7414 | 2016-07-14 |
| 1720410301 | Paulette Leleith Williams | Specialist | 11603 225th St, Cambria Heights, Cambria Heights, NY 11411-1710 | 2013-08-06 |
| 1902146251 | Paulette Richardson Williams | Occupational Therapist | 320 Willway Dr, Manakin Sabot, VA 23103-3281 | 2013-02-24 |
| 1396073441 | Paulette Yevonne Williams | Community Health Worker | 1028 Ne 2nd Ave, 1028 Ne 2nd Ave, Trenton, FL 32693-3302 | 2009-12-01 |
| 1093943458 | Paulette Williams | Social Worker | 5016 Noel Polty Blvd, Bethel, AK 99559-1029 | 2009-06-24 |
| 1144418757 | Paulette A Williams | Nurse Practitioner | 6701 N Charles St, Dept of Labor & Delivery, Baltimore, MD 21204-6808 | 2007-10-09 |
| Street Address |
790 N MAIN ST SUITE 101 |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525-4275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578571865 | Shannon Michelle Mattingly | Occupational Therapist | 790 N Main St, Suite 102, Clayton, GA 30525-4275 | 2006-08-03 |
| 1588658223 | Dosher Physical Therapy Associates, Inc | Physical Therapist | 790 N Main St, Ste 102, Clayton, GA 30525 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| 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 |
|---|---|---|---|---|
| 1447891882 | Kristin Mccord | Dietitian, Registered | 7810 Wetzel Farm Rd, Clayton, OH 45315-8985 | 2019-10-07 |
| 1386200541 | Gabrielle Nancy Meranshian | Dietitian, Registered | 529 Sunhaven Dr, Clayton, NJ 08312-1935 | 2019-05-14 |
| 1811348402 | Yalaka Huyette | Dietitian, Registered | 31 Topton Way Apt 1w, Clayton, MO 63105-1664 | 2016-06-25 |
| 1215050778 | Mary Elizabeth Smith | Dietitian, Registered | 5 Brookline Ct, Clayton, NC 27527-7511 | 2007-04-09 |
| 1184255002 | Mary Wissmann | Dietitian, Registered | 230 S Bemiston Ave Ste 430, Clayton, MO 63105-1907 | 2020-01-29 |
| 1902436298 | Jenni Leslie | Dietitian, Registered | 230 S Bemiston Ave Ste 430, Clayton, MO 63105-1907 | 2020-01-25 |
| 1841569993 | Kimberly V Terrell | Dietitian, Registered | 196 Ridgecrest Cir, Clayton, GA 30525-4111 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305486 | Susanne Mackinnon | Dietitian, Registered | 2678 Hummingbird Dr Nw, Duluth, GA 30096-3998 | 2020-10-26 |
| 1104425107 | Gabriella Schloss | Dietitian, Registered | 2323 Piedmont Rd Ne Apt 2212, Atlanta, GA 30324-3421 | 2020-10-21 |
| 1033717830 | Ariathni Pinacas Powell | Dietitian, Registered | 5761 Hancock Dr, Social Circle, GA 30025-4705 | 2020-10-14 |
| 1467050716 | Louise Brown | Dietitian, Registered | 4075 Cherry Grove Rd, Ball Ground, GA 30107-3295 | 2020-10-09 |
| 1154928513 | Alicia Adams Polk | Dietitian, Registered | 360 Southgate Dr, Locust Grove, GA 30248-4235 | 2020-10-07 |
| 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 |
| 1447857149 | Christine Marie Rives | Dietitian, Registered | 4 Skidaway Village Walk, Savannah, GA 31411-2914 | 2020-10-06 |
| 1356948293 | Brittany Mitchell Moment | Dietitian, Registered | 2913 Allie Rd, Greenville, GA 30222-2337 | 2020-10-05 |
| 1003413162 | Deanna Dae Crismon | Dietitian, Registered | 511 Ragsdale Ter, Woodstock, GA 30188-4463 | 2020-10-02 |
| Find all providers with the same taxonomy | ||||
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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.