NPI age
— years
Enumerated 2025-07-26
● Active Type 2 · Organization
Misty Clackum Nutrition Llc
Misty Clackum Nutrition Llc is 1 of 1653 dietitian, registered organizations in Georgia.
Primary specialty
Dietitian, Registered
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clackum
Owner
Last NPPES update
2025-07-26
Source: monthly bulk 2026-05
How this organization compares
Across 1653 active dietitian, registered providers in Georgia.
NPI age
0 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 10% of peers with subspecialties
NPI lifetime · 2025 → 2026
2025-07Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
1814 Treesort Vw
Gainesville, GA 305065383
Mailing address
1814 Treesort Vw
Gainesville, GA 305065383
Authorized official
Misty Mullins Clackum, RD, CSP, LDN
Owner
📞 4232845512
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Misty Clackum, RD, CSP, LDN Dietitian, Registered NPI 1073944492
Specialties
-
Dietitian, Registered PrimaryA 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...
-
Dietitian, RegisteredAn individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill...
-
Dietitian, RegisteredAn individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.