Jordan Domenick, RD
NPI 1053988477 · Registered Dietitian · Fort Stewart, GA
Jordan Domenick, RD is a Registered Dietitian provider in Fort Stewart, GA (NPI 1053988477).
Provider details
- NPI number
- 1053988477
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4237 (MN)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-04
- Last updated
- 2023-12-28
- Certified
- 2023-12-28
Frequently asked questions
- What is Jordan Domenick's NPI number?
- Jordan Domenick's National Provider Identifier (NPI) is 1053988477, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Domenick's specialty?
- Jordan Domenick is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Jordan Domenick located?
- Jordan Domenick's practice location on file with NPPES is 1061 Harmon Ave, Fort Stewart, GA 31314-5641.
- What is Jordan Domenick's phone number?
- The practice phone number listed in the NPPES registry for Jordan Domenick is (912) 435-6633.
- Is Jordan Domenick's NPI active?
- Yes — Jordan Domenick's NPI (1053988477) is active in the NPPES registry as of the last update on 2023-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.