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NPI 1164885620
● Active Type 2 · Organization
Northeast Georgia Physicians Group
Dietitian, Registered · Gainesville, GA · NPI 1164885620
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Enumerated 2016 · 10 years on NPI
Northeast Georgia Physicians Group is 1 of 1653 dietitian, registered organizations in Georgia.
NPI age
10 years
Enumerated 2016-04-01
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Way
Dietitian
Last NPPES update
2016-04-01
Source: monthly bulk 2026-05
How this organization compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
10 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2016 → 2026
2016-04 Enumerated in NPPES
2016
2026
Where they practice
Primary practice location
1075 Jesse Jewell Pkwy
Gainesville, GA 30501
📞 7702199209
Mailing address
1075 Jesse Jewell Pkwy
Gainesville, GA 30501
Authorized official
Jennifer Way, RD, LD
Dietitian
📞 7702199209
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dietitian, Registered
Primary
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
GA license #LD004565 taxonomy 133V00000X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.