Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

North Georgia Nutrition and Wellness LLC

Organization Registered Dietitian · NPI 1184039935

North Georgia Nutrition and Wellness LLC provides Registered Dietitian services in Dacula, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667 Not confirmed with CMS for 12 years — call before visiting
Phone: (770) 718-6736
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD001208 (GA)

Record details

NPI number1184039935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leslie Davis — President · (770) 718-6736
NPI enumeratedJune 30, 2014
Last updated in NPPESJune 30, 2014
Mailing address2709 Legislative Ln, Buford, GA 30519-8037

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