P Praxis·MD
● Active Type 2 · Organization

Your Dietitian Llc

Dietitian, Registered·East Point, GA· NPI 1609104058 · Enumerated 2009 · 16 years on NPI
Your Dietitian Llc is 1 of 32 dietitian, registered organizations in Georgia.
NPI age
16 years
Enumerated 2009-11-23
Primary specialty
Dietitian, Registered
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broomfield
Chief Operating Officer
Last NPPES update
2009-11-23
Source: monthly bulk 2026-05

How this organization compares

Across 32 active dietitian, registered providers in Georgia.

NPI age
16 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 28% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-11Enumerated in NPPES
2009 2026

Where they practice

Primary practice location
2758 Felton Dr
East Point, GA 303443604
📞 7703569468fax 6785473156
Mailing address
908 Needletop Ct
McDonough, GA 302534315
📞 7703569468fax 6785473156

Authorized official

Genevieve Broomfield, RD, CSR, LD
Chief Operating Officer
📞 7703569468

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dietitian, Registered Primary
    An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies...
    GA license #LD001151 taxonomy 133VN1005X
  • Dietitian, Registered
    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 #LD001151 taxonomy 133V00000X
  • Dietitian, Registered
    A registered dietitian who achieves specialized competency in metabolic nutrition.
    GA license #LD001151 taxonomy 133VN1006X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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