NPI age
16 years
Enumerated 2010-03-05
● Active Type 2 · Organization
Subpart
West Georgia Medical Center, Inc.
West Georgia Medical Center, Inc. is 1 of 1653 dietitian, registered organizations in Georgia.
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fulks
President/ceo
Last NPPES update
2014-10-08
Source: monthly bulk 2026-05
How this organization compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
16 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-03Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1514 Vernon Rd
Lagrange, GA 302404131
Mailing address
1514 Vernon Rd
Lagrange, GA 302404131
Authorized official
Gerald N. Fulks
President/ceo
📞 7068453702
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Jung Ahn, MD Anesthesiology NPI 1215031901
- Ezinne Akamiro, MD Hospitalist NPI 1922308378
- John Andrulot, MD Pathology NPI 1285763755
- Jared Angstadt, CRNA Nurse Anesthetist, Certified Registered NPI 1700400272
- Nisha Aravindakshan Patel, MD, MPH Internal Medicine NPI 1942527478
- Michele Ballister, DNP APRN CRNA CHSE Nurse Anesthetist, Certified Registered NPI 1003054586
- David Barnes, MD Emergency Medicine NPI 1831125525
- Brandon Bisso, NP Nurse Practitioner NPI 1306401260
- Robert Bookman, MD Hospitalist NPI 1164953121
- Melhim Bou Alwan, M.D. Hospitalist NPI 1164736542
- Susan Braddy, CRNA Nurse Anesthetist, Certified Registered NPI 1205902699
- Mark Brown, OTR/L Occupational Therapist NPI 1841261583
- Shaundre Brown, MD Hospitalist NPI 1467763367
- Cory Butzon, MD Pediatrics NPI 1659509685
- Heather Coggins, MPA, RD, LD Dietitian, Registered NPI 1609860014
- Darrin Coulter, PA Physician Assistant NPI 1932683802
- Joshua Davis, DPT Physical Therapist NPI 1134322100
- Holly Dawson, M.D. Pediatrics NPI 1134416894
- Rod Duraski, MD Internal Medicine NPI 1649363300
- Maurice Edwards-Lackey, MD Emergency Medicine NPI 1598269953
Specialties
-
Dietitian, Registered PrimaryA 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...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
West Georgia Medical Center
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
Subpart of West Georgia Medical Center, Inc..
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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