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NPI 1093036253
● Active Type 2 · Organization
Envision Nutrition Inc.
Dietitian, Registered · Tyrone, GA · NPI 1093036253
·
Enumerated 2010 · 15 years on NPI
Envision Nutrition Inc. is 1 of 1653 dietitian, registered organizations in Georgia.
NPI age
15 years
Enumerated 2010-06-22
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Decaille
Executive Director
Last NPPES update
2010-06-22
Source: monthly bulk 2026-05
How this organization compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
15 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2010 → 2026
2010-06 Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
1922 Highway 74 N, Suite D
Tyrone, GA 302901660
📞 4047970528
Mailing address
1922 Highway 74 N, Suite D
Tyrone, GA 302901660
📞 4047970528
Authorized official
Donna P Decaille, RD
Executive Director
📞 4047970528
Individual providers at this organization
1 individual provider on file at this primary practice address.
Specialties
Dietitian, Registered
Primary
A 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...
GA license #LD00262 taxonomy 133V00000X
Identifiers
Type Value Notes
05 (GA)
240270797A
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
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Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.