ANDREW JAMES STILLWAGON MS, RDN, LDN
NPI 1780430207
Dietitian, Registered in Durham, NC

Active since April 25, 2024Accepts Medicare Assignment
3103 SHANNON RD, DURHAM, NC 27707(919) 865-3869(866) 284-2848 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 3, 2025, Apr 25, 2024 (2 updates tracked since 2024).

About Andrew James Stillwagon Ms, Rdn, Ldn NPPES

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

ANDREW JAMES STILLWAGON MS, RDN, LDN (NPI 1780430207) is an individual dietitian, registered in Durham, North Carolina, licensed in North Carolina (L006974) and active in the NPI registry since April 2024. He maintains a secondary practice location in Raleigh and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780430207
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameANDREW JAMES STILLWAGONCredential: MS, RDN, LDN
Location Address3103 SHANNON RDDurham, NC 27707-4336
Mailing Address3103 Shannon RdDurham, NC 27707-4336 · (919) 865-3869
Fax(866) 284-2848
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2024
Last NPPES UpdateNovember 3, 20252 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
NPI 1780430207 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 · L006974
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.

3103 SHANNON RD, Durham, NC 27707

Secondary Practice Location 1

Location 14207 Lake Boone Trl Ste 210Raleigh, NC 27607-6685 · Phone (919) 784-7874 · Fax (919) 784-2708

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew James Stillwagon Ms, Rdn, Ldn 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 ID1052835899
PECOS Enrollment IDI20250414001765

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27707 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.

Other Providers at the Same Location NPPES 4

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

Physical Therapist
3103 SHANNON RD
DURHAM, NC 27707
Physical Medicine & Rehabilitation
3103 SHANNON RD
DURHAM, NC 27707
Dietitian, Registered
3103 SHANNON RD
DURHAM, NC 27707
Dietitian, Registered
3103 SHANNON RD
DURHAM, NC 27707

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780430207, enumerated as an "individual" on April 25, 2024.

The provider is located at 3103 SHANNON RD DURHAM, NC 27707 and the phone number is (919) 865-3869.

Dietitian, Registered with taxonomy code 133V00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.