P Praxis·MD
● Active Type 1 · Individual

MS. Shalese McMillan Pugh, RD,LD

Dietitian, Registered·Forest Park, GA· NPI 1447245345 · Enumerated 2005 · 20 years on NPI
Pugh is 1 of 3 dietitian, registered providers in Forest Park and 1 of 1653 in Georgia.
NPI age
20 years
Enumerated 2005-09-16
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-23
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
20 years
↑ 13 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
4772 Frontage Rd
Forest Park, GA 302971606
📞 9194919028
Mailing address
7441 Mistydawn Dr
Fairburn, GA 302134331

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 #LD002976 taxonomy 133V00000X

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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