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

Organization Registered Dietitian · NPI 1417374869

Northeast Georgia Wellness Associates, LLC provides Registered Dietitian services in Athens, 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

1197 Cedar Shoals Dr #103
Athens, GA 30605 Not confirmed with CMS for 12 years — call before visiting
Phone: (706) 296-1572
Fax: (888) 884-9828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD003881 (GA)

Record details

NPI number1417374869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Whitney Bignell — Ceo · (706) 296-1572
NPI enumeratedMarch 24, 2014
Last updated in NPPESMarch 24, 2014
Mailing addressPo Box 451, Winterville, GA 30683-0451

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