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SOUTHERN NUTRITION SERVICES, LLC
NPI 1295686616
Dietitian, Registered in Jackson, MS

Active since February 04, 2026
406 BRIARWOOD DR STE 402, JACKSON, MS 39206(601) 691-4857 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Nutrition Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN NUTRITION SERVICES, LLC (NPI 1295686616) is a healthcare organization registered as a dietitian, registered in Jackson, Mississippi and active in the NPI registry since February 2026. The organization lists Kyskie Bolton, Director, as its authorized official.

NPPES Registry Identity

NPI1295686616
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameSOUTHERN NUTRITION SERVICES, LLC
Location Address406 BRIARWOOD DR STE 402Jackson, MS 39206-3063
Mailing Address406 Briarwood Dr Ste 402Jackson, MS 39206-3063 · (601) 691-4857
Phone(601) 691-4857
Organization SubpartNo
Authorized OfficialKyskie BoltonDirector · (601) 691-4857
Enumeration DateFebruary 4, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1295686616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
406 BRIARWOOD DR STE 402, Jackson, MS 39206
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

H E A L MS FAMILY & URGENT CARE
Clinic/Center (Urgent Care)
406 BRIARWOOD DR STE 402
JACKSON, MS 39206
Hinds County (601) 914-0905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Nutrition Services, LLC's NPI number?

The NPI number for Southern Nutrition Services, LLC is 1295686616. It was assigned to this organization in the NPPES registry on February 4, 2026.

Where is Southern Nutrition Services, LLC located?

Southern Nutrition Services, LLC is located at 406 Briarwood Dr Ste 402, Jackson, MS 39206. The listed phone number is (601) 691-4857.

What is Southern Nutrition Services, LLC's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Southern Nutrition Services, LLC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.