NPI age
5 years
Enumerated 2020-09-28
● Active
Type 1 · Individual
Cassady Black
Black is 1 of 1 dietitian, registered providers in Douglasville and 1 of 18 in Georgia.
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-09-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 18 active dietitian, registered providers in Georgia.
NPI age
5 years
≈ at median (4 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-09Enumerated in NPPES
2020
2026
Where they practice
Practice location
9543 Poplar Ct
Douglasville, GA 301351798
Mailing address
9543 Poplar Ct
Douglasville, GA 301351798
Specialties
-
Dietitian, Registered PrimaryAn individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of...
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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