1. Home
  2. Directory
  3. Georgia
  4. Smyrna
  5. Dietitian Registered
  6. NPI Profile

SPROUT PEDIATRIC NUTRITION LLC
NPI 1609550599
Dietitian, Registered - Nutrition, Pediatric in Smyrna, GA

Active since June 12, 2023
4045 ORCHARD RD SE STE 500, SMYRNA, GA 30080(404) 654-3906 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sprout Pediatric Nutrition Llc NPPES

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

SPROUT PEDIATRIC NUTRITION LLC (NPI 1609550599) is a healthcare organization registered as a nutrition, pediatric in Smyrna, Georgia and active in the NPI registry since June 2023. The organization lists Caitlin Waddle, Owner, as its authorized official.

NPPES Registry Identity

NPI1609550599
Entity TypeOrganization
Primary Taxonomy133VN1004X
Legal Business NameSPROUT PEDIATRIC NUTRITION LLC
Location Address4045 ORCHARD RD SE STE 500Smyrna, GA 30080-4900
Mailing Address2062 Village Crest Dr NwAtlanta, GA 30318-1064 · (502) 648-9464
Phone(404) 654-3906
Organization SubpartNo
Authorized OfficialCaitlin WaddleOwner · (404) 654-3906
Enumeration DateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1609550599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, PediatricDietary & Nutritional Service Providers
Taxonomy Code133VN1004X
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
4045 ORCHARD RD SE STE 500, Smyrna, GA 30080
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

CAITLIN WADDLE MS, RDN, LD
Dietitian, Registered (Nutrition, Pediatric)
4045 ORCHARD RD SE STE 500
SMYRNA, GA 30080
Cobb County (404) 654-3906

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 Sprout Pediatric Nutrition LLC's NPI number?

The NPI number for Sprout Pediatric Nutrition LLC is 1609550599. It was assigned to this organization in the NPPES registry on June 12, 2023.

Where is Sprout Pediatric Nutrition LLC located?

Sprout Pediatric Nutrition LLC is located at 4045 Orchard Rd SE Ste 500, Smyrna, GA 30080. The listed phone number is (404) 654-3906.

What is Sprout Pediatric Nutrition LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Pediatric, with taxonomy code 133VN1004X.

When was this NPI record last updated?

The NPPES record for Sprout Pediatric Nutrition LLC was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.