DIETITIAN SERVICES LLC
NPI 1982311809
Clinic/Center in Matthews, NC

Active since October 31, 2022
1315 MATTHEWS MINT HILL RD STE B, MATTHEWS, NC 28105(704) 277-9059 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dietitian Services Llc NPPES

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

DIETITIAN SERVICES LLC (NPI 1982311809) is a healthcare organization registered as a clinic/center in Matthews, North Carolina and active in the NPI registry since October 2022. The organization lists Jason Russo, Owner Manager, as its authorized official.

NPPES Registry Identity

NPI1982311809
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameDIETITIAN SERVICES LLC
Location Address1315 MATTHEWS MINT HILL RD STE BMatthews, NC 28105-2694
Mailing Address12113 Landen DrCharlotte, NC 28277-4664
Organization SubpartNo
Authorized OfficialJason RussoOwner Manager · (704) 277-9059
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
✔ NPI 1982311809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1315 MATTHEWS MINT HILL RD STE B, Matthews, NC 28105

Accepted 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)

Dietitian Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dietitian Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Registered Dietitian or Nutrition Professional
NPI 1033993340
1315 MATTHEWS MINT HILL RD
Matthews, NC 28105
(704) 607-8793
✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1922156322
2536A PLANTATION CENTER DR
Matthews, NC 28105
(980) 230-9370
3.0 mi
Registered Dietitian or Nutrition Professional
NPI 1255944716
7940 WILLIAMS POND LN STE 150
Charlotte, NC 28277
(704) 247-8355
✔ Accepts Medicare7.6 mi
Registered Dietitian or Nutrition Professional
NPI 1417666264
114 DEVONSHIRE LN
Salisbury, NC 28146
(704) 310-0122
✔ Accepts Medicare36 mi

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 Dietitian Services LLC's NPI number?

The NPI number for Dietitian Services LLC is 1982311809. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Dietitian Services LLC located?

Dietitian Services LLC is located at 1315 Matthews Mint Hill Rd Ste B, Matthews, NC 28105. The listed phone number is (704) 277-9059.

What is Dietitian Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Dietitian Services LLC enrolled in Medicare?

Yes. Dietitian Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dietitian Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Registered Dietitian or Nutrition Professional, reassign their Medicare billing to Dietitian Services 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dietitian Services LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Dietitian Services 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 Dietitian Services LLC was last updated on October 31, 2022. 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.