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GEORGIANNA FAYE ELLIOTT REGISTERED DIETITIAN
NPI 1124180625
Dietitian, Registered in St Louis Park, MN

Active since December 14, 2006
3525 MONTEREY DR, ST LOUIS PARK, MN 55416(952) 993-6200 Get Directions Write a Review

NPPES record last updated: October 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Georgianna Faye Elliott Registered Dietitian NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIANNA FAYE ELLIOTT REGISTERED DIETITIAN (NPI 1124180625) is an individual dietitian, registered in St Louis Park, Minnesota, licensed in Minnesota (1595) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1124180625
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGEORGIANNA FAYE ELLIOTTCredential: REGISTERED DIETITIAN
Location Address3525 MONTEREY DRSt Louis Park, MN 55416-5275
Mailing Address2108 Red Tail LnNorth Mankato, MN 56003-1651 · (507) 388-8458
Phone(952) 993-6200
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateOctober 31, 2018
✔ NPI 1124180625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in MN · 1595
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
3525 MONTEREY DR, St Louis Park, MN 55416
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgianna Faye Elliott Registered Dietitian is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Georgianna Elliott reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Nicollet Clinic
0.5 mi
Family Medicine
3800 PARK NICOLLET BLVD
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
NPI 1063897593 (952) 993-3123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA MARIE SLINGER
Occupational Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
JACQUELYN WARNER R.D.
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
SCOTT HANNEMAN PH.D., L.P
Psychologist (Clinical)
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
MS. ASHLEY ANN BARNES RD,MS
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (262) 412-0807
HANNAH HILL
Marriage & Family Therapist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
BETH MARGARET BRANDENBURG MD
Psychiatry & Neurology (Psychiatry)
3525 MONTEREY DR
SAINT LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
MEGAN ALISSA SEPTER MA PSYD
Psychologist
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200
JULIE RUTH FLORES RD, LD
Dietitian, Registered
3525 MONTEREY DR
ST LOUIS PARK, MN 55416
Hennepin County (952) 993-6200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgianna Elliott's NPI number?

The NPI number for Georgianna Elliott is 1124180625. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Georgianna Elliott located?

Georgianna Elliott practices at 3525 Monterey Dr, St Louis Park, MN 55416. The listed phone number is (952) 993-6200.

What is Georgianna Elliott's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Georgianna Elliott enrolled in Medicare?

Yes. Georgianna Elliott is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Georgianna Elliott's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Georgianna Elliott reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Georgianna Elliott's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Georgianna Elliott was last updated on October 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.