NORTHEAST GEORGIA WELLNESS ASSOCIATES, LLC (NPI# 1417374869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417374869 |
| Entity Type | Organization |
| Organization Name | NORTHEAST GEORGIA WELLNESS ASSOCIATES, LLC |
| Practice Address |
1197 Cedar Shoals Drive #103 Athens GA 30605 |
| Mailing Address |
Po Box 451 Winterville GA 30683-0451 |
| Practice Telephone | 7062961572 |
| Practice Fax Number | 8888849828 |
| Mailing Telephone | 7062961572 |
| Mailing Fax Number | 8888849828 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Authorized Official Name | MS. WHITNEY ELAINE BIGNELL (CEO) |
| Authorized Official Telephone | 7062961572 |
| Authorized Official Credential | MS, RDN, LD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | LD003881 | GA | Dietary & Nutritional Service Providers |
| Street Address |
1197 CEDAR SHOALS DRIVE #103 |
| City | ATHENS |
| State | GA |
| Zip Code | 30605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
| 1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
| 1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
| 1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
| 1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
| 1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
| 1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
| 1861667354 | Joan Elizabeth Quinn | Counselor | 2085 S. Milledge Ave, Athens, GA 30605 | 2008-04-25 |
| Find all providers in zip 30605 | ||||
| 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 |
|---|---|---|---|---|
| 1598380719 | Courtney Vickery | Dietitian, Registered | Dw Brooks Dr, Athens, GA 30602 | 2020-06-12 |
| 1184004574 | Katherine Ossolinski | Dietitian, Registered | 1015 Whit Davis Rd, Athens, GA 30605-4039 | 2015-06-01 |
| 1750782785 | Robin Staub | Dietitian, Registered | 240 E Berkeshire Ct, Athens, GA 30606-8405 | 2014-09-09 |
| 1922349893 | Whitney Elaine Bignell | Dietitian, Registered | 1197 Cedar Shoals Dr, Apt. 103, Athens, GA 30605-5288 | 2013-03-02 |
| 1285981571 | Angela M Garcia | Dietitian, Registered | 140 Brickleberry Rdg, Athens, GA 30605-5714 | 2012-08-06 |
| 1871852491 | Kali Kuzniak | Dietitian, Registered | 145 Appleby Dr, Athens, GA 30605-1748 | 2012-05-16 |
| 1972741908 | Mary Frances Astrom | Dietitian, Registered | Wellworks Grover Center E 144, Ohio University, Athens, OH 45701 | 2009-01-29 |
| 1457554206 | Tena D Daniel | Dietitian, Registered | 2180 Oconee Connector, Ste 105, Athens, GA 30606-5715 | 2007-06-08 |
| 1316148596 | Ohio University | Dietitian, Registered | 75 Hospital Drive Suite 200, Castrop Center, Athens, OH 45701 | 2007-05-29 |
| 1417161597 | Jessica Marie Harris | Dietitian, Registered | 280 King Ave, Athens, GA 30606-2966 | 2007-05-09 |
| Find all providers in ATHENS | ||||
Please comment or provide details below to improve the information on NORTHEAST GEORGIA WELLNESS ASSOCIATES, LLC.
| 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.