NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Mrs. Misty Mullins Clackum, RD, CSP, LDN

Registered Dietitian in Gainesville, GA · enumerated 2013 · practices at Misty Clackum Nutrition LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1073944492

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Mrs. Misty Mullins Clackum
Credential RD, CSP, LDN
Sex Female
Practice address Gainesville, GA, 30506
Phone (423) 284-5512
Fax (770) 470-0770
Enumeration date Dec 11, 2013
Last updated in NPPES Jul 26, 2025

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

133VN1004X Pediatric Nutrition Registered Dietitian Dietary & Nutritional Service Providers · License 1250 (TN) Secondary
133VN1004X Pediatric Nutrition Registered Dietitian Dietary & Nutritional Service Providers · License LD002340 (GA) Secondary
133VN1401X Pediatric Critical Care Nutrition Registered Dietitian Dietary & Nutritional Service Providers · License LD002340 (GA) Secondary
133V00000X Registered Dietitian Dietary & Nutritional Service Providers · License LD002340 (GA) Primary
RD · Registered Dietitian: A nutrition professional credentialed by the Commission on Dietetic Registration. About the RD credential

Other identifiers

Identifier Type State Issuer
Q038482 Medicaid TN -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Misty Clackum?
The National Provider Identifier (NPI) for Misty Clackum is 1073944492, a Type 1 (individual) record in the CMS NPPES registry.
Where does Misty Clackum practice?
The practice location on file with NPPES is in Gainesville, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-26.