MRS. KATHRYN TILLEY DERRICK RD, LD
NPI 1194932624
Dietitian, Registered in Calhoun, GA

Q: What is Kathryn Tilley Derrick's NPI number?

The NPI number for Kathryn Tilley Derrick is 1194932624. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Q: What is Kathryn Tilley Derrick's specialty?

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

Active since May 16, 2007

150 JW PLAZA DR SE, CALHOUN, GA 30701(706) 629-4999(706) 629-4799 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Kathryn Tilley Derrick Rd, Ld NPPES

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

MRS. KATHRYN TILLEY DERRICK RD, LD (NPI 1194932624) is an individual dietitian, registered in Calhoun, Georgia, licensed in Georgia (LD003040) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1194932624

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. KATHRYN TILLEY DERRICKCredential: RD, LD

Location Address150 JW PLAZA DR SECalhoun, GA 30701-1500

Mailing Address150 Jw Plaza Dr SeCalhoun, GA 30701-1500 · (706) 629-4999 · Fax (706) 629-4799

Phone(706) 629-4999

Fax(706) 629-4799

Sole ProprietorYes

Enumeration DateMay 16, 2007

Last NPPES UpdateJanuary 12, 2026

NPPES CertifiedJanuary 12, 2026

✔ NPI 1194932624 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 GA · LD003040

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.

150 JW PLAZA DR SE, Calhoun, GA 30701

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Other Providers at the Same Location NPPES

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

ADAIRSVILLE CHIROPRACTIC CENTER

Chiropractor

150 JW PLAZA DR SE
CALHOUN, GA 30701

Gordon County (706) 629-4999

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 Kathryn Tilley Derrick's NPI number?

The NPI number for Kathryn Tilley Derrick is 1194932624. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Kathryn Tilley Derrick located?

Kathryn Tilley Derrick practices at 150 Jw Plaza Dr SE, Calhoun, GA 30701. The listed phone number is (706) 629-4999.

What is Kathryn Tilley Derrick's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathryn Tilley Derrick was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.