MEDICARE: CHRISTINA ELLENBERG RD, LDN, CSCS

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	L008727	NC
2	133V00000X	Registered Dietitian	LD004769	GA

General Provider Information

NPI Number	:	1265970925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA ELLENBERG RD, LDN, CSCS

Provider Business Mailing Address
First Line	:	2692 GALAHAD DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3627
Country	:	US
Telephone Number	:	704-351-1552
Fax Number	:

Provider Business Practice Location Address
First Line	:	2692 GALAHAD DR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30345-3627
Country	:	US
Telephone Number	:	704-351-1552
Fax Number	:

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

Provider Enumeration Date	:	02/02/2017
Last Update Date	:	07/24/2025

Similar Medicare Providers

1235726845 — DIETITIAN DISH
Practice Location Address:

2692 GALAHAD DR NE
ATLANTA, GA
30345-3627

Practice Phone: 704-351-1552
Practice Fax:

1184728016 — GEORGIA CVS PHARMACY, L.L.C.
Practice Location Address:

3615 CLAIRMONT RD NE
ATLANTA, GA
30319-3627

Practice Phone: 404-320-6658
Practice Fax:

1922260819 — MS. ALEM DESTA TURPEAU MD
Practice Location Address:

1701 ADAMS DR SW
ATLANTA, GA
30311-3627

Practice Phone: 404-640-3023
Practice Fax:

1851066377 — SOOTHING SCALPS LLC
Practice Location Address:

901 BRIARVISTA WAY NE
ATLANTA, GA
30329-3627

Practice Phone: 404-392-1915
Practice Fax:

1720701725 — HUMAN TUNE-UP CLINIC, LLC.
Practice Location Address:

1701 ADAMS DR SW
ATLANTA, GA
30311-3627

Practice Phone: 404-640-3023
Practice Fax:

1760702500 — CAMBRIDGE CARE LLC
Practice Location Address:

2310 PARKLAKE DR NE STE 228
ATLANTA, GA
30345-3070

Practice Phone: 404-935-5900
Practice Fax: 678-252-2172

Directions to “ CHRISTINA ELLENBERG RD, LDN, CSCS” 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.