MRS. STACY ANN PAINE RD, LD
NPI 1154576445
Dietitian, Registered in Atlanta, GA

Q: What is Stacy Paine's NPI number?

The NPI number for Stacy Paine is 1154576445. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Q: What is Stacy Paine's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Paine was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 01, 2008

6674 CADENCE BLVD, ATLANTA, GA 30328(404) 937-3338(404) 777-6469 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 23, 2022, Mar 11, 2022 (2 updates tracked since 2022).

On this page

About Mrs. Stacy Ann Paine Rd, Ld NPPES

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

MRS. STACY ANN PAINE RD, LD (NPI 1154576445) is an individual dietitian, registered in Atlanta, Georgia, licensed in Georgia (LD002157) and active in the NPI registry since December 2008. She maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1154576445

Entity TypeIndividualFemale

Primary Taxonomy133V00000X

Provider Legal NameMRS. STACY ANN PAINECredential: RD, LD

Location Address6674 CADENCE BLVDAtlanta, GA 30328-2874

Mailing Address1061 Whispering Lakes TrlMadison, GA 30650-6325 · (678) 773-1853

Phone(404) 937-3338

Fax(404) 777-6469

Sole ProprietorNo

Enumeration DateDecember 1, 2008

Last NPPES UpdateMarch 21, 20242 updates tracked since enumeration

NPPES CertifiedMarch 21, 2024

✔ NPI 1154576445 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 · LD002157

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.

6674 CADENCE BLVD, Atlanta, GA 30328

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Secondary Practice Location 1

Location 11061 Whispering Lakes TrlMadison, GA 30650-6325 · Phone (678) 773-1853

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Ann Paine Rd, Ld is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Stacy Paine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nourished Well, LLC

1.4 mi

Dietitian, Registered

6476 WHISPERING TRL
Atlanta, GA 30328

Reassigned Medicare billing, Georgia enrollment
2 clinicians in this Medicare group

NPI 1629840921 (404) 519-1288

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Stacy Paine's NPI number?

The NPI number for Stacy Paine is 1154576445. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Stacy Paine located?

Stacy Paine practices at 6674 Cadence Blvd, Atlanta, GA 30328. The listed phone number is (404) 937-3338.

What is Stacy Paine's specialty?

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

Is Stacy Paine enrolled in Medicare?

Yes. Stacy Paine is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Paine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Paine reassigns Medicare benefits to Nourished Well, LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Paine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stacy Paine was last updated on March 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.