NPI age
18 years
Enumerated 2007-07-17
● Active
Type 1 · Individual
Elizabeth B Revilla, MS, RD, LD, CSP
Revilla is 1 of 6 dietitian, registered providers in Atlanta and 1 of 21 in Georgia.
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 21 active dietitian, registered providers in Georgia.
NPI age
18 years
↑ 6 yr above median (12 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2007 → 2026
2007-07Enumerated in NPPES
2007
2026
Where they practice
Practice location
1547 Clifton Rd Ne
Atlanta, GA 303224008
Mailing address
1547 Clifton Rd Ne
Atlanta, GA 303224008
Specialties
-
Dietitian, Registered PrimaryAn individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill...
Practice context
Part of a multi-provider practice. 4 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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