MRS. DONNA P DECAILLE


Address: 1922 Highway 74 N, Suite D, Tyrone, GA 30290-1660
Phone: 4047970528

MRS. DONNA P DECAILLE (NPI# 1437102530) 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) 1437102530
Entity Type Individual
Full Name MRS. DONNA P DECAILLE
Credential RD
Practice Address 1922 Highway 74 N
Suite D
Tyrone
GA 30290-1660
Practice Telephone 4047970528
Practice Fax Number 6784898957
Mailing Telephone 4047970528
Mailing Fax Number 6784898957
Enumeration Date 2006-05-18
Last Update Date 2010-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD002627 GA Dietary & Nutritional Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA 24020797A 05

Office Location

Street Address 1922 HIGHWAY 74 N
SUITE D
City TYRONE
State GA
Zip Code 30290-1660

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093036253 Envision Nutrition Inc. Dietitian, Registered 1922 Highway 74 N, Suite D, Tyrone, GA 30290-1660 2010-06-22
1023183035 Ace Orthodontics and Dentistry,llc Dentist 1922 Highway 74 N, Ste. E, Tyrone, GA 30290-1660 2006-11-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407215361 Kaitlin Lackey Occupational Therapist 105 Glendalough Court, Suite H, Tyrone, GA 30290 2016-02-19
1114211745 Johannes Daniel Smit Pharmacist 525 Valleywood Drive, Tyrone, GA 30290 2011-05-31
1760700199 Georgia Integrative Medicine Preventive Medicine 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 2010-05-10
1427384783 Exelle Home Care Home Health 105 Silverthorn Drive, Tyrone, GA 30290 2009-10-21
1386884138 Genesys Ob/gyn, LLC Clinic/Center 245 Greencastle Road, Tyrone, GA 30290 2009-03-05
1689858805 Immediate Care Centers of Georgia, LLC Clinic/Center 190 Greencastle Rd., Tyrone, GA 30290 2007-12-24
1437212834 Dawn M Coffman Physician Assistant 190 Handley Rd., Tyrone, GA 30290 2006-12-18
1912971805 Jason Rex Lee Dentist 195 Greencastle Rd, Tyrone, GA 30290 2006-02-15
1053898759 Heather Renee Ellis Physical Therapist 62 Carriage Oaks Dr, Tyrone, GA 30290 2018-07-25
1134630858 Marjorie Yvette Elibert Advanced Practice Midwife 190 Handley Rd Ste A, Tyrone, GA 30290 2017-10-20
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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
1093036253 Envision Nutrition Inc. Dietitian, Registered 1922 Highway 74 N, Suite D, Tyrone, GA 30290-1660 2010-06-22

Providers in the same taxonomy and state

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
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Competitor

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City TYRONE
Zip Code 30290

Improve Information

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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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