MEDICARE: DAWN VANIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD001888	GA

General Provider Information

NPI Number	:	1477259307
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAWN VANIS

Provider Business Mailing Address
First Line	:	3650 ASHFORD DUNWOODY RD NE UNIT 1023
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30319-2065
Country	:	US
Telephone Number	:	404-421-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	3650 ASHFORD DUNWOODY RD NE UNIT 1023
Second Line	:
City	:	BROOKHAVEN
State	:	GA
Zip	:	30319-2065
Country	:	US
Telephone Number	:	404-421-0064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2023
Last Update Date	:	02/02/2023

Similar Medicare Providers

1174221352 — SAVI NUTRITION
Practice Location Address:

3650 ASHFORD DUNWOODY RD NE UNIT 1023
BROOKHAVEN, GA
30319-2065

Practice Phone: 770-539-5805
Practice Fax:

1720843188 — SARA ARIADNE KHAN RDN
Practice Location Address:

3650 ASHFORD DUNWOODY RD NE UNIT 1023
BROOKHAVEN, GA
30319-2065

Practice Phone: 404-421-0064
Practice Fax:

1871518597 — DR. JAMES BERNARD HALL M.D.
Practice Location Address:

747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-4111
Practice Fax: 601-833-1444

1790832244 — THOMAS ALBERT REID D.M.D.
Practice Location Address:

601 BROOKMAN DRIVE , SUITE B
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-5454
Practice Fax: 601-833-5628

1447563499 — ANOINTED NEPHROLOGY & HTN PLLC
Practice Location Address:

747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-4111
Practice Fax: 601-833-1444

1003392416 — MISS MONTOYAE C LEAVY NP
Practice Location Address:

747 INDUSTRIAL PARK RD NE
BROOKHAVEN, MS
39601-2065

Practice Phone: 601-833-4111
Practice Fax:

Directions to “ DAWN VANIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.