Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew James Stillwagon, MS, RDN, LDN

Individual provider Registered Dietitian · NPI 1780430207

Andrew James Stillwagon, MS, RDN, LDN is a Registered Dietitian OR Nutrition Professional in Durham, North Carolina. Qualified in 2023, 3 years ago. Practices with North Carolina Mg LLC, a 712-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024
What do these letters mean?
MS — Master of Science
A graduate science degree.
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

3103 Shannon Rd
Durham, NC 27707-4336
Phone: (919) 865-3869
Fax: (866) 284-2848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 — (919) 784-7874

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L006974 (NC)

Record details

NPI number1780430207
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , RDN , LDN
Sole proprietorNo
NPI enumeratedApril 25, 2024
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice North Carolina Mg Llc — 712 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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