Misty Clackum Nutrition LLC
NPI 1467335786ActiveOrganization· Dietitian, Registered· Gainesville, GA
Dietitian, Registered in Gainesville, Georgia, registered in NPPES in July 2025. The authorized official on file is Misty Mullins Clackum, RD, CSP, LDN, Owner.
Overview
| NPI | 1467335786 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 26, 2025 |
| Last updated in NPPES | Jul 26, 2025 |
| Certified by provider | Jul 26, 2025 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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