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Active NPI 1780768663 Individual Practitioner Female Practitioner

Ellen Suratt Stanback , RD, LD, CLC

Dietitian, Registered • Lithonia, GA

Professional Overview & Biography Verified Profile Summary

Ellen Stanback, RD, LD, CLC is a registered healthcare professional specializing in Dietitian, Registered in Lithonia, GA. Practice services are available at 2277 STONE MOUNTAIN LITHONIA RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2277 Stone Mountain Lithonia Rd

Lithonia, GA 300585252

Telephone 7704842600
Fax 7704843830
Associated Practice Facility / Clinic
🏢 Dekalb County Board Of Health Facility NPI 1003912155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Lithonia, GA (1541 Statewide)

Telehealth Adoption Rate
0.0% 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 LD001907

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Ayanna Harris , LPN

Licensed Practical Nurse

NPI 1003167669

Licensed Practical Nurse

Christine Palomino , RN

Registered Nurse

NPI 1083798987

Registered Nurse

Lisa Wolfgang , RN

Registered Nurse

NPI 1124107412

Registered Nurse

Sharon Hicks , RN

Registered Nurse

NPI 1235298548

Registered Nurse

Julie Payne , RD, LD

Dietitian, Registered

NPI 1306920327

Registered Dietitian, Licensed Dietitian

Joan Ellis-English , LPN

Licensed Practical Nurse

NPI 1316017882

Licensed Practical Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2277 STONE MOUNTAIN LITHONIA RD, LITHONIA, GA 300585252 (Tel: 7704842600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3177 KENSINGTON RD, AVONDALE ESTATES, GA 300021457 (Tel: 4042991150)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ELLEN STANBACK, RD,LD,CLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietitian, Registered (License #LD001907 in GA)

🟢
Initial NPI Registration & Enumeration October 25, 2006

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: 1780768663
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 25, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

3177 Kensington Rd

Avondale Estates, GA 300021457

Phone: 4042991150

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.