Active NPI
Jack Varnon, RDN
- Registered Dietitian
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 2153 Valleygate Dr Ste 202
Fayetteville, NC 28304-3667 - Phone
- (910) 399-6552
- NPI assigned
- Feb 3, 2026
- Last updated
- Feb 3, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | NU | Primary |
Addresses
Primary practice location
2153 Valleygate Dr Ste 202
Fayetteville, NC 28304-3667
Mailing address
2517 Delaney Ave
Wilmington, NC 28403-6003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Registered Dietitian Or Nutrition Professional
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Medical Campus Dr NW
Suite 206
Supply, NC 28462-4094
Phone (910) 239-3562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutrition in Motion | Dietitian, Registered | Current | Accepting new patients |
Locations
2153 Valleygate Dr
Ste 202
Fayetteville, NC 28304
Phone (910) 399-6552
20 Medical Campus Dr NW
Ste 206
Supply, NC 28462
Phone (910) 754-5453
2517 Delaney Ave
Wilmington, NC 28403
Phone (910) 667-9417
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770076800000",
"number": "1578414942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2153 VALLEYGATE DR STE 202",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043667",
"telephone_number": "910-399-6552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNON",
"first_name": "JACK",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-02-03",
"last_updated": "2026-02-03",
"certification_date": "2026-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.