P Praxis·MD
● Active Type 1 · Individual

Angelo Capozzoli, RD, CSR, LD

Dietitian, Registered·Tucker, GA· NPI 1235179797 · Enumerated 2006 · 19 years on NPI
Capozzoli is 1 of 1 dietitian, registered providers in Tucker and 1 of 32 in Georgia.
NPI age
19 years
Enumerated 2006-06-06
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2007-10-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 32 active dietitian, registered providers in Georgia.

NPI age
19 years
↑ 2 yr above median (16 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-06Enumerated in NPPES
2006 2026

Where they practice

Practice location
1462 Montreal Rd, Suite 203
Tucker, GA 300846929
📞 7706745458fax 7706741871
Mailing address
1462 Montreal Rd, Suite 203
Tucker, GA 300846929
📞 7706745458fax 7706741871

Specialties

  • Dietitian, Registered Primary
    An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies...
    GA license #LD001724 taxonomy 133VN1005X
  • Dietitian, Registered
    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...
    TN license #LDN0000001874 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 39 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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