Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Misty Clackum Nutrition LLC

Organization Registered Dietitian · NPI 1467335786

Misty Clackum Nutrition LLC is a Registered Dietitian in Gainesville, Georgia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1814 Treesort Vw
Gainesville, GA 30506-5383
Phone: (423) 284-5512
Fax: (770) 470-0770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X
Obesity and Weight Management Nutrition Registered Dietitian Taxonomy 133VN1201X

Record details

NPI number1467335786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Misty Clackum — Owner · (423) 284-5512
NPI enumeratedJuly 26, 2025
Last updated in NPPESJuly 26, 2025
Certification dateJuly 26, 2025
Mailing address1814 Treesort Vw, Gainesville, GA 30506-5383

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