P Praxis·MD
● Active Type 1 · Individual

MRS. Mary Lauren Whiteside, R.D, C.S.P, L.D.

Dietitian, Registered·Savannah, GA· NPI 1538332663 · Enumerated 2008 · 18 years on NPI
Whiteside is 1 of 2 dietitian, registered providers in Savannah and 1 of 21 in Georgia.
NPI age
18 years
Enumerated 2008-04-09
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
GA, SC
2 states
Status
Active
No deactivations on record
Last NPPES update
2012-09-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 21 active dietitian, registered providers in Georgia.

NPI age
18 years
↑ 6 yr above median (12 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
19% of peers hold subspecialties

NPI lifetime · 2008 → 2026

2008-04Enumerated in NPPES
2008 2026

Where they practice

Practice location
4700 Waters Ave, Food & Nutrition Services
Savannah, GA 314046220
📞 9123509473fax 8433509557
Mailing address
4700 Waters Ave, P.o. Box 23089
Savannah, GA 314046220
📞 9123509473fax 8433509557

Specialties

  • Dietitian, Registered Primary
    An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill...
    GA license #003750SC license #160 taxonomy 133VN1004X

Identifiers

TypeValueNotes
05 (GA) 003124845A
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 538 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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