Amy N. Roark, L..D.
NPI 1699771311ActiveIndividual· Dietitian, Registered· Gainesville, GA
Dietitian, Registered (L..D.) with Northeast Georgia Diagnostic Associates and Clinic, LLC, practicing in Gainesville, Georgia. Medicare paid $8,362 for services to 69 patients in 2024.
Overview
| NPI | 1699771311 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | L..D. |
| Sole proprietor | No |
| NPI issued | Jun 27, 2005 |
| Last updated in NPPES | Aug 2, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 69 |
|---|---|
| Services billed | 302 across 3 procedure codes |
| Paid by Medicare | $8,362 |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Northeast Georgia Diagnostic Associates and Clinic, LLCDuluth, GA · 81 clinicians
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All 20 registered dietitians in Gainesville · All registered dietitians in Georgia