Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Nutrisource Nutritional Services, Inc

Organization Registered Dietitian · NPI 1932486966

Nutrisource Nutritional Services, Inc provides Registered Dietitian services in Saint Simons Island, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

504 Beachview Dr Ste 2A
Saint Simons Island, GA 31522-4740 Not confirmed with CMS for 14 years — call before visiting
Phone: (912) 222-7755
Fax: (912) 434-7018
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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 LD002579 (GA)

Record details

NPI number1932486966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lauren Bailey — Owner · (912) 222-7755
Other names Nutrisource, Inc.
NPI enumeratedNovember 4, 2011
Last updated in NPPESNovember 4, 2011
Mailing address620 Sea Island Rd, Pmb 273, Saint Simons Island, GA 31522-1767

Other providers in Saint Simons Island