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

Mrs. Misty Mullins Clackum, RD, CSP, LDN

Individual provider Pediatric Nutrition Registered Dietitian · NPI 1073944492

Mrs. Misty Mullins Clackum, RD, CSP, LDN is a Pediatric Nutrition Registered Dietitian in Gainesville, Georgia. Practices as a sole proprietor. Licensed in Georgia and Tennessee.

Licensed in
GA, TN
In the registry since
2013
Specialties on file
4
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

See every abbreviation used in this directory →

Practice location Address checks out

1814 Treesort Vw
Gainesville, GA 30506-5383
Phone: (423) 284-5512
Fax: (770) 470-0770
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence LD002340 (GA)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence 1250 (TN)
Pediatric Nutrition Registered Dietitian Taxonomy 133VN1004X · Licence LD002340 (GA)
Pediatric Critical Care Nutrition Registered Dietitian Taxonomy 133VN1401X · Licence LD002340 (GA)

Record details

NPI number1073944492
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD , CSP , LDN
Sole proprietorYes
NPI enumeratedDecember 11, 2013
Last updated in NPPESJuly 26, 2025
Certification dateJuly 26, 2025

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