LOGAN PACE MS, RD, LDN
NPI 1265081400
Dietitian, Registered in Durham, NC

Active since September 10, 2019
3612 SHANNON RD STE 103, DURHAM, NC 27707(919) 870-1001(919) 516-0673 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Logan Pace Ms, Rd, Ldn NPPES

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

LOGAN PACE MS, RD, LDN (NPI 1265081400) is an individual dietitian, registered in Durham, North Carolina, licensed in North Carolina (L005180) and active in the NPI registry since September 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1265081400
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameLOGAN PACECredential: MS, RD, LDN
Location Address3612 SHANNON RD STE 103Durham, NC 27707-6333
Mailing Address4705 University Dr Bldg 700Durham, NC 27707-3489 · (919) 237-1337 · Fax (866) 538-4716
Fax(919) 516-0673
Sole ProprietorNo
Enumeration DateSeptember 10, 2019
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1265081400 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 NC · L005180
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.
3612 SHANNON RD STE 103, Durham, NC 27707

Secondary Practice Locations 3

Location 11415 Broad StDurham, NC 27705-3534 · Phone (919) 870-1001
Location 2539 Keisler Dr Ste 101Cary, NC 27518-9320 · Phone (919) 870-1001
Location 38300 Health Park Ste 325Raleigh, NC 27615-4731 · Phone (919) 870-1001

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Logan Pace Ms, Rd, Ldn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Clinic/Center
400 ATTAIN ST STE 202
Fuquay Varina, NC 27526
  • Reassigned Medicare billing, North Carolina enrollment
  • 217 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 10

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

Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietetic Technician, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707
Dietitian, Registered
3612 SHANNON RD STE 103
DURHAM, NC 27707

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 Logan Pace's NPI number?

The NPI number for Logan Pace is 1265081400. It was assigned to this individual provider in the NPPES registry on September 10, 2019.

Where is Logan Pace located?

Logan Pace practices at 3612 Shannon Rd Ste 103, Durham, NC 27707. The listed phone number is (919) 870-1001.

What is Logan Pace's specialty?

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

Is Logan Pace enrolled in Medicare?

Yes. Logan Pace is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Logan Pace's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Pace reassigns Medicare benefits to Avance Care, PA (Fuquay Varina, NC). 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 Logan Pace's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Pace accept?

Health plans from Blue Cross and Blue Shield of NC list Logan Pace as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Pace was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.