Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992868467 Individual Practitioner Female Practitioner

Maxine B Moore , RD, LD

Dietitian, Registered • Lilburn, GA

Professional Overview & Biography Verified Profile Summary

Maxine Moore, RD, LD is a registered healthcare professional specializing in Dietitian, Registered in Lilburn, GA. Practice services are available at 5342 LAWRENCEVILLE HWY NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5342 Lawrenceville Hwy Nw
Ste. A

Lilburn, GA 300475952

Telephone 6789241546
Associated Practice Facility / Clinic
🏢 Gwinnett County Health Dept Facility NPI 1427312370

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Lilburn, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Lilburn, GA (1541 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

State License GA LD000409

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 applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Rhonda Lively , RD, LD

Dietitian, Registered

NPI 1124181706

Registered Dietitian, Licensed Dietitian

Jessica Daly , RD, LD

Dietitian, Registered

NPI 1295898864

Registered Dietitian, Licensed Dietitian

Natasha Carter , RD, LD

Dietitian, Registered

NPI 1912060575

Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 5342 LAWRENCEVILLE HWY NW, STE. A, LILBURN, GA 300475952 (Tel: 6789241546)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 897, LAWRENCEVILLE, GA 300460897 (Tel: 7703394260)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MAXINE MOORE, RD, LD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dietitian, Registered (License #LD000409 in GA)

🟢
Initial NPI Registration & Enumeration December 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992868467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

Po Box 897

Lawrenceville, GA 300460897

Phone: 7703394260

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.