Envision Nutrition Inc. is a
Dietitian, Registered based in Tyrone, Georgia. Envision Nutrition Inc. is licensed to practice in Georgia (license number LD00262) and their current practice location is
1922 Highway 74 N, Suite D, Tyrone, Georgia. It can be reached at their office (for appointments etc.) via phone at
(404) 797-0528.
NPI number for Envision Nutrition Inc. is 1093036253 and their current mailing address is 1922 Highway 74 N, Suite D, Tyrone, Georgia. Envision Nutrition Inc.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1093036253.
Healthcare Provider's Profile
Full Name | Envision Nutrition Inc. |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 1922 Highway 74 N, Tyrone, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093036253
- Provider Enumeration Date: 06/22/2010
- Last Update Date: 06/22/2010
Medical Identifiers
Medical identifiers for Envision Nutrition Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093036253 | NPI | - | NPPES |
240270797A | Medicaid | GA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD00262 (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. Envision Nutrition Inc. 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 Address | Practice Location Address |
Envision Nutrition Inc. 1922 Highway 74 N, Suite D, Tyrone, GA 30290-1660 Ph: (404) 797-0528 | Envision Nutrition Inc. 1922 Highway 74 N, Suite D, Tyrone, GA 30290-1660 Ph: (404) 797-0528 |
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