NPI age
4 years
Enumerated 2021-06-04
● Active
Type 1 · Individual
Jordan Domenick, RD
Domenick is 1 of 24 dietitian, registered providers in Fort Stewart and 1 of 1653 in Georgia.
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
MO, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-12-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
4 years
↓ 3 yr below median (7 yr)
State licenses
2 states
Top 95% — 4% of peers are multi-state
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
1061 Harmon Ave
Fort Stewart, GA 313145641
Mailing address
1061 Harmon Ave
Fort Stewart, GA 313145641
Specialties
-
Dietitian, Registered PrimaryA Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based...
Practice context
Part of a multi-provider practice. 1034 other active providers share this practice address in NPPES.
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