KATHERINE MARIE GRAHAM (RDN) – Registered Dietitian, NPI 1770174088

KATHERINE MARIE GRAHAM (RDN) is a healthcare provider. based in Atlanta, Georgia. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold the professional credentials RDN. The NPI Number for KATHERINE MARIE GRAHAM (RDN) is 1770174088

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE MARIE GRAHAM (RDN)
NPI
1770174088
Phone
(404) 355-4393
Address
1800 HOWELL MILL RD NW STE 450
Enumeration Date
29 January 2021
Last Update Date
12 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4043554393
Graduation Year
2020 (6 years ago)
PAC ID
1254718935
Group Practice PAC ID
6901826569
Professional Enrollment ID
I20220518002298
Address ID
GA303182508AT1800XNWXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

115 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in GA

Provider Addresses for KATHERINE MARIE GRAHAM (RDN)

  • 1800 HOWELL MILL RD NW STE 450

    ATLANTA, GA 303182508

    Phone: (404) 355-4393

    Fax: (404) 609-7655

    Mailing address matches the actual address.

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: 2022-05-18

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
I20220518002298IRegistered 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97802Therapy procedure for nutrition management, each 15 minutes6420$0
View full utilization report →

Insurance plans in this area (ZIP 30318)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901826569View full group profile
NameSpecialtyState
-GA
Registered Dietitian Or Nutrition ProfessionalGA
Endocrinology, Internal MedicineGA
Internal Medicine, EndocrinologyGA
Endocrinology, Internal MedicineNJ
Internal Medicine, EndocrinologyGA
Internal Medicine, EndocrinologyGA
-GA
Endocrinology, Internal MedicineGA
Endocrinology, Internal MedicineGA

Reviews

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Frequently asked questions

What NPI should I save for KATHERINE MARIE GRAHAM (RDN)?
Save NPI 1770174088 if you need a stable reference for KATHERINE MARIE GRAHAM (RDN).
Is KATHERINE MARIE GRAHAM (RDN)'s NPI currently valid?
The extract we use shows KATHERINE MARIE GRAHAM (RDN) as active.
What field does KATHERINE MARIE GRAHAM (RDN) work in?
You can think of KATHERINE MARIE GRAHAM (RDN) as practicing within Registered Dietitian. Clinical services aligned with this taxonomy classification.
What location metadata exists for KATHERINE MARIE GRAHAM (RDN)?
The page summarizes Atlanta, Georgia for KATHERINE MARIE GRAHAM (RDN); expand the address list for detail.
Is KATHERINE MARIE GRAHAM (RDN) a real provider?
This page reflects official NPPES data for NPI 1770174088. Always confirm identity and privileges with the practice and licensing boards.

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