Andrew James Stillwagon, MS, RDN, LDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

L006974 Issued in NC

Practice address

3103 Shannon Rd
Durham, NC 27707-4336

Phone

(919) 865-3869

Fax

(866) 284-2848

NPI assigned

Apr 25, 2024

Last updated

Nov 3, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: astillwagon919176@direct.unc.nchie.net

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.

• North Carolina MG, LLC

  dba UNC Health North Carolina Heart and Vascular

  • Hospitalist Physician
  • Raleigh, NC
  • NPI 1215741640
  Medicare reassignment Care Compare group NPD
• Rdnutrition LLC

  dba Loop Nutrition

  • Registered Dietitian
  • Durham, NC
  • NPI 1104642859

  Dietitian, Registered

  Medicare reassignment NPD
• Best Physical Therapy, LLC

  • Physical Therapist
  • Raleigh, NC
  • NPI 1427674019

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1780430207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 SHANNON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074336",
            "telephone_number": "919-865-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 SHANNON RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277074336",
            "telephone_number": "919-865-3869",
            "fax_number": "866-284-2848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4207 Lake Boone Trl Ste 210",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076685",
            "country_code": "US",
            "telephone_number": "919-784-7874",
            "fax_number": "919-784-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLWAGON",
        "first_name": "ANDREW",
        "middle_name": "JAMES",
        "credential": "MS, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NC",
            "license": "L006974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "astillwagon919176@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "4207 Lake Boone Trl Ste 210",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Robert Bailey Stifler, MD
• Katherine Stiles, MD
• Jamie Stiller, OTR/L
• Phillip Stillman, PHD, MSW, LCSWA
• Sheila Joyce Stillman, LCSW
• Jeffrey Warren Stillwagon, RPH
• Denise Butler Stillwell, SLP
• Sarah Katherine Stingley, PT
• Samuel Andrew Stinson, MD
• Michael J Stirling, M.D

• Registered Dietitian in Durham, NC
• Providers in Durham, NC by specialty
• Registered Dietitian in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.

Verify at the official NPI Registry.