Michelle Broussard, PHD, RDN, LD
NPI 1689551053 · Registered Dietitian · Ellenwood, GA
Michelle Broussard, PHD, RDN, LD is a Registered Dietitian provider in Ellenwood, GA (NPI 1689551053).
Provider details
- NPI number
- 1689551053
- Entity type
- Individual
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Credential
- PHD, RDN, LD
- Sex
- Female
- Sole proprietor
- Yes
- License
- LD002261 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Dietary & Nutritional Service Providers
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
- 2025-08-18
- Last updated
- 2025-08-18
- Certified
- 2025-08-18
Frequently asked questions
- What is Michelle Broussard's NPI number?
- Michelle Broussard's National Provider Identifier (NPI) is 1689551053, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Broussard's specialty?
- Michelle Broussard is listed in the NPPES registry with a primary specialty of Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Michelle Broussard located?
- Michelle Broussard's practice location on file with NPPES is 4300 Ward Bluff Dr, Ellenwood, GA 30294-1783.
- What is Michelle Broussard's phone number?
- The practice phone number listed in the NPPES registry for Michelle Broussard is (404) 216-2067.
- Is Michelle Broussard's NPI active?
- Yes — Michelle Broussard's NPI (1689551053) is active in the NPPES registry as of the last update on 2025-08-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.