P Praxis·MD
● Active Type 1 · Individual

Charles Tyree Moore, MS, RD, LD

Dietitian, Registered·Fort Gordon, GA· NPI 1184360430 · Enumerated 2022 · 4 years on NPI
Moore is 1 of 8 dietitian, registered providers in Fort Gordon and 1 of 1653 in Georgia.
NPI age
4 years
Enumerated 2022-05-10
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-05-10
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
4 years
↓ 3 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-05Enumerated in NPPES
2022 2026

Where they practice

Practice location
300 W Hospital Rd
Fort Gordon, GA 309055741
📞 7067871347
Mailing address
438 Brigham Trl
Augusta, GA 309096045

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 #5813 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 238 other active providers share 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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