P Praxis·MD
● Active Type 1 · Individual

Crystal Marie Shores, RD, LD

Dietitian, Registered·Marietta, GA· NPI 1629348727 · Enumerated 2012 · 14 years on NPI
Shores is 1 of 51 dietitian, registered providers in Marietta and 1 of 1653 in Georgia.
NPI age
14 years
Enumerated 2012-01-05
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-01-05
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
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Practice location
5150 Davidson Road
Marietta, GA 30068
📞 6782098976
Mailing address
4880 Lower Roswell Rd, Suite 165-142
Marietta, GA 300684375
📞 6782098976

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 #LD003806 taxonomy 133V00000X

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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