Misty Clackum Nutrition Llc - Dietitian in Gainesville, GA

Misty Clackum Nutrition Llc is a Dietitian, Registered based in Gainesville, Georgia. Misty Clackum Nutrition Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is 1814 Treesort Vw, Gainesville, Georgia. It can be reached at their office (for appointments etc.) via phone at (423) 284-5512.

NPI number for Misty Clackum Nutrition Llc is 1467335786 and their current mailing address is 1814 Treesort Vw, Gainesville, Georgia. Misty Clackum Nutrition Llc does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1467335786.

Contact Information

Misty Clackum Nutrition Llc
1814 Treesort Vw,
Gainesville, GA 30506-5383
(423) 284-5512
(770) 470-0770

Map and Direction




Healthcare Provider's Profile

Full NameMisty Clackum Nutrition Llc
TypeFacility
SpecialityDietitian, Registered
Location1814 Treesort Vw, Gainesville, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1467335786
  • Provider Enumeration Date: 07/26/2025
  • Last Update Date: 07/26/2025

Medical Identifiers

Medical identifiers for Misty Clackum Nutrition Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467335786NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered (* (Not Available))Primary
133VN1004XDietitian, Registered - Nutrition, Pediatric (* (Not Available))Secondary
133VN1201XDietitian, Registered - Nutrition, Obesity And Weight Management (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Clackum Nutrition Llc is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Misty Clackum Nutrition Llc
1814 Treesort Vw,
Gainesville, GA 30506-5383

Ph: (423) 284-5512
Misty Clackum Nutrition Llc
1814 Treesort Vw,
Gainesville, GA 30506-5383

Ph: (423) 284-5512

Reviews and Comments


Dietitian, Registered in Gainesville, GA

Ms. Karen Bartlett, R.D,, L.D.
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 3728 Pintail Cir, Gainesville, GA 30506
Phone: 678-997-5001    
Mrs. Misty Mullins Clackum, RD, CSP, LDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1814 Treesort Vw, Gainesville, GA 30506
Phone: 423-284-5512    Fax: 770-470-0770
Northeast Georgia Physicians Group
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1075 Jesse Jewell Pkwy, Gainesville, GA 30501
Phone: 770-219-9209    
Miss Sonia Jewel Fernando, R.D., L.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1280 Athens St, Gainesville, GA 30507
Phone: 706-376-5117    
Brianna Hannasch, RDN, CLC
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 8540 Lanierland Farms Dr, Gainesville, GA 30506
Phone: 912-695-0218    
Jennifer Way, RD, LD
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1075 Jesse Jewell Pkwy Ne Ste B, Gainesville, GA 30501
Phone: 770-219-9209    
Charlotte Hill,
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 1439 Jesse Jewell Pkwy Ne Ste 302, Gainesville, GA 30501
Phone: 770-219-9200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.