Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cassady Black

Individual provider Obesity and Weight Management Nutrition Registered Dietitian · NPI 1104433713

Cassady Black is an Obesity and Weight Management Nutrition Registered Dietitian in Douglasville, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
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Practice location Address checks out

9543 Poplar Ct
Douglasville, GA 30135-1798
Phone: (678) 477-4169
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Specialties & licences

Obesity and Weight Management Nutrition Registered Dietitian (primary) Taxonomy 133VN1201X · Licence LD005540 (GA)

Record details

NPI number1104433713
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 28, 2020
Last updated in NPPESSeptember 28, 2020
Certification dateSeptember 28, 2020
Mailing address9543 Poplar Ct, Douglasville, GA 30135-1798