P Praxis·MD
● Active Type 1 · Individual

MRS. Caitlin Russell, MS, RD, LD

Dietitian, Registered·Marietta, GA· NPI 1104173061 · Enumerated 2012 · 13 years on NPI
Russell is 1 of 51 dietitian, registered providers in Marietta and 1 of 1653 in Georgia.
NPI age
13 years
Enumerated 2012-08-10
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-10-24
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1653 active dietitian, registered providers in Georgia.

NPI age
13 years
↑ 6 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-08Enumerated in NPPES
2012 2026

Where they practice

Practice location
1000 Johnson Ferry Rd Ste D125
Marietta, GA 300682113
📞 4043144014
Mailing address
6275 Old Hickory Pt
Atlanta, GA 303283618
📞 4043144014

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 #LD003912 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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