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Active NPI 1104150192 Individual Practitioner Male Practitioner

Gary Alan Youngblood , RD, LD, CDE

Dietitian, Registered • Pooler, GA

Professional Overview & Biography Verified Profile Summary

Gary Youngblood, RD, LD, CDE is a registered healthcare professional specializing in Dietitian, Registered in Pooler, GA. Practice services are available at 141 NANDINA WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

141 Nandina Way

Pooler, GA 313224076

Telephone 9126601215
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dietitian, Registered in Pooler, GA

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

Practicing in Pooler, 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 LD002323

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 24, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2009

Registered at 141 NANDINA WAY, POOLER, GA 313224076 (Tel: 9126601215)

📍
Updated Business Mailing Address September 24, 2009

Registered at 141 NANDINA WAY, POOLER, GA 313224076 (Tel: 9126601215)

👤
Provider Name / Credentials Updated September 24, 2009

Recorded as GARY YOUNGBLOOD, RD, LD, CDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2009

Dietitian, Registered (License #LD002323 in GA)

🟢
Initial NPI Registration & Enumeration September 24, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1104150192
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2009
Last Update: September 24, 2009
Sole Proprietor: Yes

Mailing Address

141 Nandina Way

Pooler, GA 313224076

Phone: 9126601215

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.