P Praxis·MD
● Active Type 1 · Individual

MS. Shirleen Crocker, L.D.

Nutritionist·Thomaston, GA· NPI 1639164759 · Enumerated 2005 · 20 years on NPI
Crocker is 1 of 1 nutritionist providers in Thomaston and 1 of 51 in Georgia.
NPI age
20 years
Enumerated 2005-09-14
Primary specialty
Nutritionist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Not specified
May be part of a larger org

How this provider compares

Across 51 active nutritionist providers in Georgia.

NPI age
20 years
↑ 13 yr above median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
314 E Lee St
Thomaston, GA 302864122
📞 7066477148fax 7066473372
Mailing address
Po Box 409
Marshallville, GA 310570409
📞 4789672195fax 7066473372

Specialties

  • Nutritionist Primary
    Definition to come...
    GA license #LD001487 taxonomy 133NN1002X

Practice context

Part of a multi-provider practice. 3 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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