P Praxis·MD
● Active Type 1 · Individual

Nancy Susan Wanko, M.S., R.D., L.D.

Dietitian, Registered·Atlanta, GA· NPI 1487863189 · Enumerated 2007 · 19 years on NPI
Wanko is 1 of 10 dietitian, registered providers in Atlanta and 1 of 26 in Georgia.
NPI age
19 years
Enumerated 2007-05-21
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
No
May be part of a larger org

How this provider compares

Across 26 active dietitian, registered providers in Georgia.

NPI age
19 years
↑ 3 yr above median (15 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
80 Jesse Hill JR Dr Se
Atlanta, GA 303033031
📞 4046163752fax 4046162422
Mailing address
816 Highland Lake Cir
Decatur, GA 300333448

Specialties

  • Dietitian, Registered Primary
    A registered dietitian who achieves specialized competency in metabolic nutrition.
    GA license #LD001345 taxonomy 133VN1006X

Practice context

Part of a multi-provider practice. 851 other active providers share 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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