ELLEN SURATT STANBACK (RD,LD,CLC) – Registered Dietitian, NPI 1780768663

ELLEN SURATT STANBACK (RD,LD,CLC) is a healthcare provider. based in Lithonia, Georgia. specializing in Registered Dietitian. They hold the professional credentials RD,LD,CLC. They hold a License No. LD001907 (GA). The NPI Number for ELLEN SURATT STANBACK (RD,LD,CLC) is 1780768663

Main info

Female
Name
ELLEN SURATT STANBACK (RD,LD,CLC)
NPI
1780768663
Phone
(770) 484-2600
Address
2277 STONE MOUNTAIN LITHONIA RD
Enumeration Date
25 October 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ELLEN SURATT STANBACK (RD,LD,CLC)

  • Lithonia Yard, South Stone Mountain Lithonia Road, Stonecrest, DeKalb County, Georgia, 30058, United States

    LITHONIA, GA 300585252

    Phone: (770) 484-2600

    Fax: (770) 484-3830

    Type: Location

  • 3177, Kensington Road, Avondale Estates, DeKalb County, Georgia, 30002, United States

    AVONDALE ESTATES, GA 300021457

    Phone: (404) 299-1150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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 30058)

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Reviews

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Frequently asked questions

Can I use this page to confirm ELLEN SURATT STANBACK (RD,LD,CLC)'s NPI?
Yes. ELLEN SURATT STANBACK (RD,LD,CLC) is listed with NPI 1780768663 in the public NPI dataset.
Is ELLEN SURATT STANBACK (RD,LD,CLC) listed as active for patients and plans?
The listing shows ELLEN SURATT STANBACK (RD,LD,CLC) as active in the NPI system.
What is ELLEN SURATT STANBACK (RD,LD,CLC)'s specialty?
The listing groups ELLEN SURATT STANBACK (RD,LD,CLC) with Registered Dietitian. Clinical services aligned with this taxonomy classification.
Does ELLEN SURATT STANBACK (RD,LD,CLC) list a practice location?
Patients near Lithonia, Georgia may find ELLEN SURATT STANBACK (RD,LD,CLC) in results; validate coverage separately.
Is the information about ELLEN SURATT STANBACK (RD,LD,CLC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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