P Praxis·MD
● Active Type 1 · Individual

Jerri K Aultman, RD

Dietitian, Registered·Tifton, GA· NPI 1982908281 · Enumerated 2010 · 15 years on NPI
Aultman is 1 of 8 dietitian, registered providers in Tifton and 1 of 1653 in Georgia.
NPI age
15 years
Enumerated 2010-12-29
Primary specialty
Dietitian, Registered
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-10-18
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
15 years
↑ 8 yr above median (7 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-12Enumerated in NPPES
2010 2026

Where they practice

Practice location
1007 Greenfield Dr
Tifton, GA 317943795
📞 2293829733
Mailing address
1007 Greenfield Dr
Tifton, GA 317943795
📞 2293829733fax 2293876161

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
901 18th St E
Tifton, GA 317943648
📞 2293533347fax 2293537722
Location 3
2922 N Oak St Ste C
Valdosta, GA 316021885
📞 2293829733

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 #LD001366 taxonomy 133V00000X

Identifiers

TypeValueNotes
01 (GA) LD001366 STATE LICENSE
01 (GA) 834511 REGISTERED DIETITIAN

Practice context

Part of a multi-provider practice. 12 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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