Kidney Nutrition Specialist LLC
NPI 1316564909 · Registered Dietitian · Fayetteville, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kidney Nutrition Specialist LLC is a Registered Dietitian organization in Fayetteville, GA (NPI 1316564909).
Provider details
- NPI number
- 1316564909
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Jadeda Hooks, President(770) 568-0162
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-06-29
- Last updated
- 2020-07-13
- Certified
- 2020-07-13
Frequently asked questions
- What is Kidney Nutrition Specialist LLC's NPI number?
- Kidney Nutrition Specialist LLC's National Provider Identifier (NPI) is 1316564909, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kidney Nutrition Specialist LLC?
- Kidney Nutrition Specialist LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Kidney Nutrition Specialist LLC located?
- Kidney Nutrition Specialist LLC's practice location on file with NPPES is 213 Highland Hills Rd, Fayetteville, GA 30214-5429.
- What is Kidney Nutrition Specialist LLC's phone number?
- The practice phone number listed in the NPPES registry for Kidney Nutrition Specialist LLC is (770) 568-0162.
- Does Kidney Nutrition Specialist LLC accept Medicare?
- Kidney Nutrition Specialist LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kidney Nutrition Specialist LLC?
- The authorized official listed on Kidney Nutrition Specialist LLC's NPPES record is Jadeda Hooks, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kidney Nutrition Specialist LLC's NPI active?
- Yes — Kidney Nutrition Specialist LLC's NPI (1316564909) is active in the NPPES registry as of the last update on 2020-07-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.