NPI age
6 years
Enumerated 2020-03-27
● Active
Type 1 · Individual
Twyla Douglas Jackson I, RDN, CSO, LD
Jackson is 1 of 7 dietitian, registered providers in Atlanta and 1 of 10 in Georgia.
Primary specialty
Dietitian, Registered
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-03-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 10 active dietitian, registered providers in Georgia.
NPI age
6 years
↑ 2 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
20% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-03Enumerated in NPPES
2020
2026
Where they practice
Practice location
Clinical Nutrition, 1000 Johnson Ferry Rd Ne
Atlanta, GA 30342
Mailing address
1704 Summit Village Ln
Marietta, GA 300665962
Specialties
-
Dietitian, Registered PrimaryAn individual who is a Board Certified Specialist in Oncology Nutrition and provides direct nutrition care for individuals at risk for or diagnosed with cancer. RDNs working directly with individuals at risk for, or diagnosed with, any...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | LD001282 | STATE OF GEORGIA LICENSE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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