Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle D Broussard, PHD, RDN, LD

Individual provider Nutrition Education Nutritionist · NPI 1689551053

Michelle D Broussard, PHD, RDN, LD is a Nutrition Education Nutritionist in Ellenwood, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025
Specialties on file
5
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

4300 Ward Bluff Dr
Ellenwood, GA 30294-1783
Phone: (404) 216-2067
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD002261 (GA)
Nutrition Education Nutritionist Taxonomy 133NN1002X · Licence LD002261 (GA)
Dietary Manager Taxonomy 132700000X · Licence LD002261 (GA)
Renal Nutrition Registered Dietitian Taxonomy 133VN1005X · Licence LD00261 (GA)
Community Health Clinic/Center Taxonomy 261QC1500X · Licence LD002261 (GA)

Record details

NPI number1689551053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , RDN , LD
Sole proprietorYes
NPI enumeratedAugust 18, 2025
Last updated in NPPESAugust 18, 2025
Certification dateAugust 18, 2025

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