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Deactivated NPI 1114672060 Deactivated / Inactive NPI Female Practitioner

Benita Ligia Bobo , RD

Dietitian, Registered • Duluth, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Benita Bobo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 18, 2022
NPI Deactivation Date October 16, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Benita Bobo, RD was a registered Dietitian, Registered practicing in Duluth, GA. Throughout an active medical career spanning 2 years, Benita Bobo provided care at the practice location at 4204 RIVER SHOALS CT until profile deactivation on 2024-10-16.

Practice Location & Contact Primary Location

Practice Address

4204 River Shoals Ct

Duluth, GA 300972124

Telephone 4048041300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Duluth, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
24 Specialists

Practicing in Duluth, GA (1541 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License GA LD006035

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 16, 2024

Record deactivated on October 16, 2024

NPI Profile Active February 18, 2022

NPI status registered as active in NPPES database

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Updated Practice Location February 18, 2022

Registered at 4204 RIVER SHOALS CT, DULUTH, GA 300972124 (Tel: 4048041300)

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Updated Business Mailing Address February 18, 2022

Registered at 4204 RIVER SHOALS CT, DULUTH, GA 300972124 (Tel: 4048041300)

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Provider Name / Credentials Updated February 18, 2022

Recorded as BENITA BOBO, RD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2022

Dietitian, Registered (License #LD006035 in GA)

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Initial NPI Registration & Enumeration February 18, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114672060
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2022
Last Update: February 18, 2022
Deactivation Date: October 16, 2024

Mailing Address

4204 River Shoals Ct

Duluth, GA 300972124

Phone: 4048041300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.