P Praxis·MD
● Active Type 1 · Individual

MS. Mary Ann B Florestan, RD, LD

Dietitian, Registered·Marietta, GA· NPI 1477610095 · Enumerated 2007 · 19 years on NPI
Florestan is 1 of 51 dietitian, registered providers in Marietta and 1 of 1653 in Georgia.
NPI age
19 years
Enumerated 2007-01-02
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
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
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
4757 Canton Rd, Suite 110
Marietta, GA 300663234
📞 7705170105fax 7705170105
Mailing address
4757 Canton Rd, Ne, Suite 110
Marietta, GA 300663234
📞 7705170105fax 7705170105

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 #001660 taxonomy 133V00000X

Identifiers

TypeValueNotes
01 (GA) 10040673 AMERIGROUP
01 (GA) 332644 WELLCARE

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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