P Praxis·MD
● Active Type 1 · Individual

Linda Moore, RD

Dietitian, Registered·Tifton, GA· NPI 1871665919 · Enumerated 2006 · 19 years on NPI
Moore is 1 of 8 dietitian, registered providers in Tifton and 1 of 1653 in Georgia.
NPI age
19 years
Enumerated 2006-11-14
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
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
19 years
↑ 12 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-11Enumerated in NPPES
2006 2026

Where they practice

Practice location
901 18th St E
Tifton, GA 317943648
📞 2293536208fax 2293537722
Mailing address
901 18th St E
Tifton, GA 317943648
📞 2293536208fax 2293537722

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 #LD001273 taxonomy 133V00000X

Identifiers

TypeValueNotes
01 (GA) LD001273 STATE LICENSE NUMBER

Practice context

Part of a multi-provider practice. 169 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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