MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) – Registered Dietitian, NPI 1235604273

MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) is a healthcare provider. based in Snellville, Georgia. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials MS, RDN, LD. They hold a License No. LD005235 (GA). The NPI Number for MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) is 1235604273

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD)
NPI
1235604273
Phone
(404) 923-0223
Address
2483 HERITAGE VLG STE 16-221
Enumeration Date
5 October 2018
Last Update Date
31 May 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
4049230223
Graduation Year
2009 (17 years ago)
PAC ID
7911338116
Professional Enrollment ID
I20241030002927
Address ID
GA300946676CO1775XSEXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

115 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in GA

Provider Addresses for MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD)

  • 2483 HERITAGE VLG STE 16-221

    SNELLVILLE, GA 300786140

    Phone: (404) 923-0223

    Fax: (833) 924-0340

    Type: Mailing

  • 840 PLUMBRIDGE CT

    LITHONIA, GA 300589020

    Phone: (404) 923-0223

    Fax: (833) 924-0340

    Type: Location

  • 840 Plumbridge Ct

    Lithonia, GA 300589020

    Phone: (404) 923-0223

    Fax: (833) 924-0340

    Type: Location

  • 1775 PARKER RD SE BLDG C

    CONYERS, GA 300946654

    Phone: (404) 923-0223

    Fax: (833) 924-0340

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241030002927IRegistered Dietitian Or Nutrition ProfessionalGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30078)

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Reviews

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Frequently asked questions

Can I verify MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) with an NPI only?
You can start verification with NPI 1235604273 for MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD), then check state licensing separately.
Does the file indicate MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) is practicing under active NPI?
Directory data currently reports MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) as active.
What is MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD)'s primary classification?
Registered Dietitian is the headline specialty for MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) here. Clinical services aligned with this taxonomy classification.
Where is MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) based?
MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) is tied to Snellville, Georgia in the data we show; additional addresses may exist on the full record.
Why does MS. AKEENA KENNETTE ST. MARTIN (MS, RDN, LD) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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