Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fourth and Beech, Inc

Organization Registered Dietitian · NPI 1316392541

Fourth and Beech, Inc provides Registered Dietitian services in Dunwoody, Georgia. Licensed in Georgia. Registered with an NPI since 2016.

Licensed in
GA
In the registry since
2016
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5475 Chamblee Dunwoody Rd
Dunwoody, GA 30338-4114 Not confirmed with CMS for 10 years — call before visiting
Phone: (678) 379-1300
Fax: (678) 802-3209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 56363 (GA)
Registered Dietitian Taxonomy 133V00000X · Licence LD004684 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN108447 (GA)

Record details

NPI number1316392541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ikusuke Nakada — Ceo/Owner · (404) 229-9048
Other names Medi-Weightloss
NPI enumeratedApril 25, 2016
Last updated in NPPESJuly 19, 2016
Mailing address5024 Vernon Springs Dr, Dunwoody, GA 30338-4653

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