NPI age
18 years
Enumerated 2007-08-17
● Active Type 2 · Organization
Nutrition 411 Beverly Ford Rd Ld Llc
Nutrition 411 Beverly Ford Rd Ld Llc is 1 of 32 dietitian, registered organizations in Georgia.
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Ford
Owner
Last NPPES update
2007-08-17
Source: monthly bulk 2026-05
How this organization compares
Across 32 active dietitian, registered providers in Georgia.
NPI age
18 years
↑ 1 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-08Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2425 Williams St
Augusta, GA 309046127
Mailing address
2425 Williams St
Augusta, GA 309046127
Authorized official
Beverly Ford, RD LD
Owner
📞 7065891582
Specialties
-
Dietitian, Registered PrimaryAn individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.