IndividualActive
Gary Youngblood, RD, LD, CDE
NPI 1104150192 · Registered Dietitian · Pooler, GA
Gary Youngblood, RD, LD, CDE is a Registered Dietitian provider in Pooler, GA (NPI 1104150192).
Provider details
- NPI number
- 1104150192
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- RD, LD, CDE
- Sex
- Male
- Sole proprietor
- Yes
- License
- LD002323 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
141 Nandina Way
Pooler, GA 31322-4076
Phone: (912) 660-1215
Street-level locationGet directions
Mailing address
141 Nandina Way
Pooler, GA 31322-4076
Registry dates
- Enumerated
- 2009-09-24
- Last updated
- 2009-09-24
Frequently asked questions
- What is Gary Youngblood's NPI number?
- Gary Youngblood's National Provider Identifier (NPI) is 1104150192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gary Youngblood's specialty?
- Gary Youngblood is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Gary Youngblood located?
- Gary Youngblood's practice location on file with NPPES is 141 Nandina Way, Pooler, GA 31322-4076.
- What is Gary Youngblood's phone number?
- The practice phone number listed in the NPPES registry for Gary Youngblood is (912) 660-1215.
- Is Gary Youngblood's NPI active?
- Yes — Gary Youngblood's NPI (1104150192) is active in the NPPES registry as of the last update on 2009-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.