P Praxis·MD
● Active Type 1 · Individual

Mary Michelle Carlson

Nutritionist·Waleska, GA· NPI 1649986381 · Enumerated 2023 · 3 years on NPI
Carlson is 1 of 1 nutritionist providers in Waleska and 1 of 68 in Georgia.
NPI age
3 years
Enumerated 2023-01-26
Primary specialty
Nutritionist
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2023-01-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 68 active nutritionist providers in Georgia.

NPI age
3 years
↓ 4 yr below median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-01Enumerated in NPPES
2023 2026

Where they practice

Practice location
262 Ridgewood Dr
Waleska, GA 301833942
📞 4042906130
Mailing address
262 Ridgewood Dr
Waleska, GA 301833942
📞 4042906130

Specialties

  • Nutritionist Primary
    A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals...
    taxonomy 133N00000X

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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