P Praxis·MD
● Active Type 1 · Individual

Tracie Bock, RD, LD

Dietitian, Registered·Brunswick, GA· NPI 1417297730 · Enumerated 2013 · 13 years on NPI
Bock is 1 of 10 dietitian, registered providers in Brunswick and 1 of 1653 in Georgia.
NPI age
13 years
Enumerated 2013-02-22
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2013-02-22
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

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 · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
1415 Legacy Dr
Brunswick, GA 315253137
📞 9122660989
Mailing address
1415 Legacy Dr
Brunswick, GA 315253137

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 #LD002569 taxonomy 133V00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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