NPI age
— years
Enumerated 2025-08-18
● Active
Type 1 · Individual
Michelle D Broussard, PHD, RDN, LD
Broussard is 1 of 1 dietitian, registered providers in Ellenwood and 1 of 1653 in Georgia.
Primary specialty
Dietitian, Registered
Plus 4 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-08-18
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
0 years
↓ 7 yr below median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
4
In the 10% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-08Enumerated in NPPES
2025
2026
Where they practice
Practice location
4300 Ward Bluff Dr
Ellenwood, GA 302941783
Mailing address
4300 Ward Bluff Dr
Ellenwood, GA 302941783
Specialties
-
Dietitian, Registered PrimaryA 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...
-
Clinic/CenterDefinition to come...
-
Dietary ManagerA dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the...
-
Dietitian, RegisteredAn 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...
-
NutritionistDefinition to come...
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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