NUTRISOURCE NUTRITIONAL SERVICES, INC.
NPI 1932486966
Dietitian, Registered in Saint Simons Island, GA

Q: What is Nutrisource Nutritional Services, Inc.'s specialty?

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

Active since November 04, 2011

504 BEACHVIEW DR, SUITE 2A, SAINT SIMONS ISLAND, GA 31522(912) 222-7755(912) 434-7018 Get Directions Write a Review

NPPES record last updated: November 4, 2011. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Nutrisource Nutritional Services, Inc. NPPES

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

NUTRISOURCE NUTRITIONAL SERVICES, INC. (NPI 1932486966), doing business as Nutrisource, Inc., is a healthcare organization registered as a dietitian, registered in Saint Simons Island, Georgia and active in the NPI registry since November 2011. The organization lists Lauren G. Bailey, Owner, as its authorized official.

NPPES Registry Identity

NPI1932486966

Entity TypeOrganization

Primary Taxonomy133V00000X

Legal Business NameNUTRISOURCE NUTRITIONAL SERVICES, INC.

Location Address504 BEACHVIEW DR, SUITE 2ASaint Simons Island, GA 31522-4740

Mailing Address620 Sea Island Rd, Pmb 273Saint Simons Island, GA 31522-1767 · (912) 222-7755 · Fax (912) 434-7018

Phone(912) 222-7755

Fax(912) 434-7018

Organization SubpartNo

Authorized OfficialLauren G. BaileyOwner · (912) 222-7755

Enumeration DateNovember 4, 2011

✔ NPI 1932486966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed in GA · LD002579

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.

504 BEACHVIEW DR, Saint Simons Island, GA 31522

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Other Names 1

Former Legal Business NameNutrisource, Inc.

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.

MRS. LAUREN GICZEWSKI BAILEY R.D.

Dietitian, Registered

504 BEACHVIEW DR, SUITE 2A
SAINT SIMONS ISLAND, GA 31522

Glynn County (912) 222-7755

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 Nutrisource Nutritional Services, Inc.'s NPI number?

The NPI number for Nutrisource Nutritional Services, Inc. is 1932486966. It was assigned to this organization in the NPPES registry on November 4, 2011. The provider was formerly known as Nutrisource, Inc..

Where is Nutrisource Nutritional Services, Inc. located?

Nutrisource Nutritional Services, Inc. is located at 504 Beachview Dr Suite 2A, Saint Simons Island, GA 31522. The listed phone number is (912) 222-7755.

What is Nutrisource Nutritional Services, Inc.'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 Nutrisource Nutritional Services, Inc. was last updated on November 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.