Southern Nutrition Services, LLC
NPI 1295686616 · Registered Dietitian · Jackson, MS
Southern Nutrition Services, LLC is a Registered Dietitian organization in Jackson, MS (NPI 1295686616).
Provider details
- NPI number
- 1295686616
- Entity type
- Organization
- Primary specialty
- Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Kyskie Bolton, Director(601) 691-4857
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
- Certified
- 2026-02-03
Frequently asked questions
- What is Southern Nutrition Services, LLC's NPI number?
- Southern Nutrition Services, LLC's National Provider Identifier (NPI) is 1295686616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Nutrition Services, LLC?
- Southern Nutrition Services, LLC is classified in the NPPES registry as Registered Dietitian (Dietary & Nutritional Service Providers).
- Where is Southern Nutrition Services, LLC located?
- Southern Nutrition Services, LLC's practice location on file with NPPES is 406 Briarwood Dr Ste 402, Jackson, MS 39206-3063.
- What is Southern Nutrition Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Nutrition Services, LLC is (601) 691-4857.
- Who is the authorized official for Southern Nutrition Services, LLC?
- The authorized official listed on Southern Nutrition Services, LLC's NPPES record is Kyskie Bolton, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Nutrition Services, LLC's NPI active?
- Yes — Southern Nutrition Services, LLC's NPI (1295686616) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.