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Holly Norwood Samples , RD, LD

Dietitian, Registered β€’ Athens, GA

Active NPI 1972824639 Individual Practitioner Female Practitioner
Practice location in NPPES

55 Carlton St
Athens, GA 306021503

Call 7065428690 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

55 Carlton St

Athens, GA 306021503

Telephone 7065428690
Organization at the Same NPPES Address or Phone
Board Of Regents Of The University System Of Georgia Facility NPI 1811098817

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2010

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Athens and Georgia

26 active clinicians are listed under Dietitian, Registered with a practice address in Athens, GA (1,520 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Athens

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES GA LD002637

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Joy Ford , PA

Physician Assistant

NPI 1720233208

Physician Assistant

NPI 1952619298

Doctor of Philosophy (Ph.D.)

NPI 1801074604

Doctor of Medicine (M.D.)

Dr. Garth Russo , MD

Family Medicine

NPI 1013195825

Doctor of Medicine (M.D.)

NPI 1831417195

Doctor of Philosophy (Ph.D.)

NPI 1154339471

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active January 23, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location January 23, 2017

Registered at 55 CARLTON ST, ATHENS, GA 306021503 (Tel: 7065428690)

πŸ“
Updated Business Mailing Address January 23, 2017

Registered at 55 CARLTON ST, ATHENS, GA 306021503 (Tel: 7065428690)

πŸ‘€
Provider Name / Credentials Updated January 23, 2017

Recorded as HOLLY SAMPLES, RD, LD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2017

Dietitian, Registered (license number reported to NPPES: GA LD002637)

βœ…
NPI Profile Active June 17, 2010

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 17, 2010

Registered at 1230 BAXTER ST, ATHENS, GA 306063712 (Tel: 7063892161)

πŸ“
Business Mailing Address (Initial Record) June 17, 2010

Registered at 1230 BAXTER ST, ATHENS, GA 306063712

πŸ‘€
Provider Name / Credentials (Initial Record) June 17, 2010

Recorded as HOLLY SAMPLES, RD, LD, CDE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2010

Dietitian, Registered (license number reported to NPPES: GA LD002637)

🟒
Initial NPI Registration & Enumeration June 17, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1972824639
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2010
Last Update: January 23, 2017
Sole Proprietor: No

Mailing Address

55 Carlton St

Athens, GA 306021503

Phone: 7065428690

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.