P Praxis·MD
● Active Type 1 · Individual

Ashley Park, RD, LD

Dietitian, Registered·Decatur, GA· NPI 1609310606 · Enumerated 2016 · 9 years on NPI
Park is 1 of 69 dietitian, registered providers in Decatur and 1 of 1653 in Georgia.
NPI age
9 years
Enumerated 2016-12-09
Primary specialty
Dietitian, Registered
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-12-09
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
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-12Enumerated in NPPES
2016 2026

Where they practice

Practice location
2165 N Decatur Rd, Rm 111
Decatur, GA 300335307
📞 4047781285
Mailing address
2165 N Decatur Rd, Rm 111
Decatur, GA 300335307
📞 4047781285

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 #LD004523GA license #86058151 taxonomy 133V00000X

Practice context

Part of a multi-provider practice. 39 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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