Ellen Suratt Stanback, RD,LD,CLC - Dietitian in Lithonia, GA

Ellen Suratt Stanback, RD,LD,CLC is a Dietitian, Registered based in Lithonia, Georgia. Ellen Suratt Stanback is licensed to practice in Georgia (license number LD001907) and her current practice location is 2277 Stone Mountain Lithonia Rd, Lithonia, Georgia. She can be reached at her office (for appointments etc.) via phone at (770) 484-2600.

NPI number for Ellen Suratt Stanback is 1780768663 and her current mailing address is 3177 Kensington Rd, Avondale Estates, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780768663.

Contact Information

Ellen Suratt Stanback, RD,LD,CLC
2277 Stone Mountain Lithonia Rd,
Lithonia, GA 30058-5252
(770) 484-2600
(770) 484-3830

Map and Direction




Healthcare Provider's Profile

Full NameEllen Suratt Stanback
GenderFemale
SpecialityDietitian, Registered
Location2277 Stone Mountain Lithonia Rd, Lithonia, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780768663
  • Provider Enumeration Date: 10/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ellen Suratt Stanback such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780768663NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD001907 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellen Suratt Stanback is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellen Suratt Stanback, RD,LD,CLC
3177 Kensington Rd,
Avondale Estates, GA 30002-1457

Ph: (404) 299-1150
Ellen Suratt Stanback, RD,LD,CLC
2277 Stone Mountain Lithonia Rd,
Lithonia, GA 30058-5252

Ph: (770) 484-2600

Reviews and Comments


Dietitian, Registered in Lithonia, GA

Mrs. Annie Elizabeth Gibson-boyd, R.D.,L.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 5407 W Saddle Gate Pl, Lithonia, GA 30038
Phone: 770-757-7416    
Ricia Taylor, RD/N, LD, CDE
Dietitian
Medicare: Medicare Enrolled
Practice Location: 5440 Hillandale Dr, Lithonia, GA 30058
Phone: 770-322-3210    
Julie Caralee Payne, RD, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058
Phone: 770-484-2600    Fax: 770-484-3830
Mary Etta James Gresham, R.D.L.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 5330 Cayuga Ct, Lithonia, GA 30038
Phone: 404-578-6525    
Marsha Darnell Canning, LD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2277 Stone Mountain Lithonia Rd, Lithonia, GA 30058
Phone: 770-484-2615    Fax: 770-484-0155
Senior Meal Services, Llc
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 4686 Browns Mill Ln, Lithonia, GA 30038
Phone: 678-698-2328    
Jacqueline D Lockett, R.D., L.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 6066 Shadow Lake Way, Lithonia, GA 30058
Phone: 404-512-2824    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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