LINDA FULLAM


Address: 5671 Peachtree Dunwoody Rd Ne, Suite 600, Atlanta, GA 30342-5000
Phone: 4042579000

LINDA FULLAM (NPI# 1932343654) 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) 1932343654
Entity Type Individual
Full Name LINDA FULLAM
Practice Address 5671 Peachtree Dunwoody Rd Ne
Suite 600
Atlanta
GA 30342-5000
Mailing Address 550 Peachtree St Ne
Suite 1600
Atlanta
GA 30308-2208
Practice Telephone 4042579000
Practice Fax Number 4048479792
Mailing Telephone 4048887575
Mailing Fax Number 4048857777
Enumeration Date 2009-04-24
Last Update Date 2009-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133V00000X Dietitian, Registered LD003241 GA Dietary & Nutritional Service Providers

Office Location

Street Address 5671 PEACHTREE DUNWOODY RD NE
SUITE 600
City ATLANTA
State GA
Zip Code 30342-5000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164429676 Joseph A. St. Louis Jr. Ophthalmology 5671 Peachtree Dunwoody Rd Ne, Suite 400, Atlanta, GA 30342-5000 2005-06-30
1295178523 Jill Heinzmann Smith Physical Therapist 5671 Peachtree Dunwoody Rd Ne, Suite 520, Atlanta, GA 30342-5000 2013-04-17
1497198790 Laura Ann Huey Physical Therapist 5671 Peachtree Dunwoody Rd Ne, Suite 520, Atlanta, GA 30342-5000 2013-04-17
1659632800 Bnn Strategic Management, LLC Anesthesiology 5671 Peachtree Dunwoody Rd Ne, Suite 680, Atlanta, GA 30342-5000 2012-06-05
1124389895 Jordan Lee Hall Physician Assistant 5671 Peachtree Dunwoody Rd Ne, Suite 900, Atlanta, GA 30342-5000 2012-05-30
1831457126 Pamela C Whitaker Nurse Practitioner 5671 Peachtree Dunwoody Rd Ne, Suite 530, Atlanta, GA 30342-5000 2012-04-25
1417227448 Alison S Moe Physician Assistant 5671 Peachtree Dunwoody Rd Ne, Suite 600, Atlanta, GA 30342-5000 2012-01-06
1023397213 Georgia Vascular Clinic At Saint Joseph's, LLC Surgery 5671 Peachtree Dunwoody Rd Ne, Suite 250, Atlanta, GA 30342-5000 2011-08-05
1578854162 Christopher Ketchey Anesthesiology 5671 Peachtree Dunwoody Rd Ne, Ste. 610, Atlanta, GA 30342-5000 2011-04-29
1932342763 Kennestone Heart Physicians Group, PC Internal Medicine 5671 Peachtree Dunwoody Rd Ne, Suite 320, Atlanta, GA 30342-5000 2009-04-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
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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 30342

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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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