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JACK VARNON RDN
NPI 1578414942
Dietitian, Registered in Fayetteville, NC

Active since February 03, 2026Accepts Medicare Assignment
2153 VALLEYGATE DR STE 202, FAYETTEVILLE, NC 28304(910) 399-6552 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack Varnon Rdn NPPES

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

JACK VARNON RDN (NPI 1578414942) is an individual dietitian, registered in Fayetteville, North Carolina and active in the NPI registry since February 2026. The provider is a graduate of Other (2024).

NPPES Registry Identity

NPI1578414942
Entity TypeIndividual
Primary Taxonomy133V00000X
Provider Legal NameJACK VARNONCredential: RDN
Location Address2153 VALLEYGATE DR STE 202Fayetteville, NC 28304-3667
Mailing Address2517 Delaney AveWilmington, NC 28403-6003
Phone(910) 399-6552
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 3, 2026
NPPES CertifiedFebruary 3, 2026
✔ NPI 1578414942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
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.
2153 VALLEYGATE DR STE 202, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Varnon Rdn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709366586
PECOS Enrollment IDI20260219002259

Medicare Billing Reassignment

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

Nutrition In Motion
81 mi
Dietitian, Registered
2517 DELANEY AVE
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 19 clinicians in this Medicare group
NPI 1174800577 (910) 239-3562

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jack Varnon's NPI number?

The NPI number for Jack Varnon is 1578414942. It was assigned to this individual provider in the NPPES registry on February 3, 2026.

Where is Jack Varnon located?

Jack Varnon practices at 2153 Valleygate Dr Ste 202, Fayetteville, NC 28304. The listed phone number is (910) 399-6552.

What is Jack Varnon's specialty?

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

Is Jack Varnon enrolled in Medicare?

Yes. Jack Varnon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jack Varnon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Varnon reassigns Medicare benefits to Nutrition In Motion (Wilmington, 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 Jack Varnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Varnon accept?

Health plans from Blue Cross and Blue Shield of NC list Jack Varnon 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 Jack Varnon was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.