P Praxis·MD
● Active Type 2 · Organization

Southern Nutrition And Wellness

Dietitian, Registered·Ray City, GA· NPI 1356828925 · Enumerated 2018 · 7 years on NPI
Southern Nutrition And Wellness is 1 of 1653 dietitian, registered organizations in Georgia.
NPI age
7 years
Enumerated 2018-07-25
Primary specialty
Dietitian, Registered
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wise
Licensed Dietitian
Last NPPES update
2018-07-25
Source: monthly bulk 2026-05

How this organization compares

Across 1653 active dietitian, registered providers in Georgia.

NPI age
7 years
≈ at median (7 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Primary practice location
6073 Luke Rd
Ray City, GA 316452119
📞 2295467585
Mailing address
6073 Luke Rd
Ray City, GA 316452119
📞 2295467585

Authorized official

Kati Rebecca Wise, MS, RD, LD
Licensed Dietitian
📞 2295467585

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 #LD004663 taxonomy 133V00000X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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