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

MS. Deja Ivy, MS, RD, LD

Individual provider Registered Dietitian · NPI 1417770629

MS. Deja Ivy, MS, RD, LD is a Registered Dietitian OR Nutrition Professional in Atlanta, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

1448 Jefferson Dr
Atlanta, GA 30350-7121
Phone: (773) 891-6240
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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 LD006151 (GA)

Record details

NPI number1417770629
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LD
Sole proprietorYes
NPI enumeratedNovember 5, 2024
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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