YOUR DIETITIAN LLC – Renal Nutrition Registered Dietitian, NPI 1609104058

YOUR DIETITIAN LLC is a healthcare provider. based in Mcdonough, Georgia. specializing in Renal Nutrition Registered Dietitian. The organization holds a License No. LD001151 (GA). The NPI Number for YOUR DIETITIAN LLC is 1609104058

Main info

Organization
Name
YOUR DIETITIAN LLC
NPI
1609104058
Phone
(770) 356-9468
Address
908 NEEDLETOP CT
Authorized Official
GENEVIEVE BROOMFIELD CHIEF OPERATING OFFICER RD, CSR, LD
Enumeration Date
23 November 2009
Last Update Date
23 November 2009
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

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Provider Addresses for YOUR DIETITIAN LLC

  • 908 NEEDLETOP CT

    MCDONOUGH, GA 302534315

    Phone: (770) 356-9468

    Fax: (678) 547-3156

    Type: Mailing

  • 2758, Felton Drive, Atlanta, Fulton County, Georgia, 30344, United States

    EAST POINT, GA 303443604

    Phone: (770) 356-9468

    Fax: (678) 547-3156

    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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 30253)

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Reviews

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Frequently asked questions

How do payers reference YOUR DIETITIAN LLC?
For YOUR DIETITIAN LLC, use NPI 1609104058 as the unique 10-digit identifier.
Would YOUR DIETITIAN LLC appear as active to a payer?
You can treat YOUR DIETITIAN LLC as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to YOUR DIETITIAN LLC?
YOUR DIETITIAN LLC's specialty line reads Renal Nutrition Registered Dietitian. Clinical services aligned with this taxonomy classification.
What practice footprint exists for YOUR DIETITIAN LLC?
Travel planning: use Mcdonough, Georgia as the reference point for YOUR DIETITIAN LLC, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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