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

Mrs. Kathryn Tilley Derrick, RD, LD

Individual provider Registered Dietitian · NPI 1194932624

Mrs. Kathryn Tilley Derrick, RD, LD is a Registered Dietitian in Calhoun, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

150 Jw Plaza Dr SE
Calhoun, GA 30701-1500
Phone: (706) 629-4999
Fax: (706) 629-4799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD003040 (GA)

Record details

NPI number1194932624
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , LD
Sole proprietorYes
NPI enumeratedMay 16, 2007
Last updated in NPPESJanuary 12, 2026
Certification dateJanuary 12, 2026

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