P Praxis·MD
● Active Type 1 · Individual

Michael Vincent Polis, REGISTERED DIETITIAN

Dietitian, Registered·Fort Moore, GA· NPI 1972951614 · Enumerated 2016 · 9 years on NPI
Polis is 1 of 7 dietitian, registered providers in Fort Moore and 1 of 1653 in Georgia.
NPI age
9 years
Enumerated 2016-06-02
Primary specialty
Dietitian, Registered
Licensed in
AL
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-18
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
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
Martin Army 6600, 9250
Fort Moore, GA 31905
📞 7624082033
Mailing address
Martin Army 6600 Van Aalst Blvd, Bld 9250
For Moore, GA 31905
📞 7624081190

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...
    AL license #2254 taxonomy 133V00000X

Practice context

Solo or small practice. No 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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