P Praxis·MD
● Active Type 1 · Individual

Heathar Shepard, NUTRITIONIST

Nutritionist·Canton, GA· NPI 1376024281 · Enumerated 2018 · 7 years on NPI
Shepard is 1 of 1 nutritionist providers in Canton and 1 of 51 in Georgia.
NPI age
7 years
Enumerated 2018-08-28
Primary specialty
Nutritionist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2018-08-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 51 active nutritionist providers in Georgia.

NPI age
7 years
≈ at median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-08Enumerated in NPPES
2018 2026

Where they practice

Practice location
112 Misty Valley Dr
Canton, GA 301147732
📞 7705162303
Mailing address
Po Box 464
Questa, NM 875560464
📞 5052048556

Specialties

  • Nutritionist Primary
    Definition to come...
    taxonomy 133NN1002X

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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