Melissa Faith Anderson Clackum, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Hiram, GA

NPI 1043942956 · NPPES record last updated Mar 4, 2026

Key facts

NPI
1043942956
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
L-303290 (GA)
Practice address
PO Box 8
Hiram, GA 30141-0008
Phone
(678) 770-4898
NPI assigned
Jun 29, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L-303290GAMDLactation Consultant (Non-RN)

Practice roles

OrganizationSpecialtyStatusNew patients
Ladybug Lactation LLC. Lactation Consultant, Non-RN Current Accepting new patients
Lactation Consultants of Atlanta Past
since Jul 3, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-303290 GA Yes

Addresses

Primary practice location

PO Box 8
Hiram, GA 30141-0008

Mailing address

PO Box 8
Hiram, GA 30141-0008
Phone (470) 256-5777

Other providers in Hiram, GA

All providers in Hiram, GA · Lactation Consultant (Non-RN) in Georgia

Sources for this page

Verify at the official NPI Registry.