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KIDNEY NUTRITION SPECIALIST LLC
NPI 1316564909
Dietitian, Registered in Newnan, GA

Active since June 29, 2020
1425 HIGHWAY 34 E, NEWNAN, GA 30265(470) 205-0119(770) 580-1880 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2026, Jul 13, 2020, Jun 30, 2020 (3 updates tracked since 2020).

About Kidney Nutrition Specialist Llc NPPES

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

KIDNEY NUTRITION SPECIALIST LLC (NPI 1316564909) is a healthcare organization registered as a dietitian, registered in Newnan, Georgia and active in the NPI registry since June 2020. The organization maintains 2 additional practice locations and lists Jadeda Darwashia Hooks, President, as its authorized official.

NPPES Registry Identity

NPI1316564909
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameKIDNEY NUTRITION SPECIALIST LLC
Location Address1425 HIGHWAY 34 ENewnan, GA 30265-1323
Mailing Address213 Highland Hills RdFayetteville, GA 30214-5429 · (770) 568-0162
Phone(470) 205-0119
Fax(770) 580-1880
Organization SubpartNo
Authorized OfficialJadeda Darwashia HooksPresident · (770) 568-0162
Enumeration DateJune 29, 2020
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1316564909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
Also ListedDietitian, Registered · Nutrition, RenalTaxonomy 133VN1005X
1425 HIGHWAY 34 E, Newnan, GA 30265
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Secondary Practice Locations 2

Location 1213 Highland Hills RdFayetteville, GA 30214-5429 · Phone (470) 205-0119 · Fax (770) 580-1880
Location 2130 Governors Sq Ste CPeachtree City, GA 30269-4862 · Phone (470) 205-0119 · Fax (770) 580-1880

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kidney Nutrition Specialist Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kidney Nutrition Specialist LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jadeda Hooks, RDN, CSR
Registered Dietitian or Nutrition Professional
NPI 1174834493
1425 HIGHWAY 34 E
Newnan, GA 30265
(470) 202-0119
✔ Accepts MedicareSame address

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

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 Kidney Nutrition Specialist LLC's NPI number?

The NPI number for Kidney Nutrition Specialist LLC is 1316564909. It was assigned to this organization in the NPPES registry on June 29, 2020.

Where is Kidney Nutrition Specialist LLC located?

Kidney Nutrition Specialist LLC is located at 1425 Highway 34 E, Newnan, GA 30265. The listed phone number is (470) 205-0119.

What is Kidney Nutrition Specialist LLC's specialty?

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

Is Kidney Nutrition Specialist LLC enrolled in Medicare?

Yes. Kidney Nutrition Specialist LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Nutrition Specialist LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Kidney Nutrition Specialist LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kidney Nutrition Specialist LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kidney Nutrition Specialist LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kidney Nutrition Specialist LLC was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.