| Mrs Stacy Ann Paine, RD, LD | |
|
6674 Cadence Blvd, Atlanta, GA 30328-2874 | |
| (404) 937-3338 | |
| (404) 777-6469 |
| Full Name | Mrs Stacy Ann Paine |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 6674 Cadence Blvd, Atlanta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154576445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD002157 (Georgia) | Primary |
| Provider Name | Oconee Nutrition Consultants, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780903096 PECOS PAC ID: 0648466284 Enrollment ID: O20101122001318 |
| Provider Name | Nourished Well, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1629840921 PECOS PAC ID: 7113363532 Enrollment ID: O20240307003313 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Stacy Ann Paine, RD, LD 1061 Whispering Lakes Trl, Madison, GA 30650-6325 Ph: (678) 773-1853 | Mrs Stacy Ann Paine, RD, LD 6674 Cadence Blvd, Atlanta, GA 30328-2874 Ph: (404) 937-3338 |
Alexis Roberts, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2232 Dunseath Ave Nw Apt 413, Atlanta, GA 30318 Phone: 678-756-4091 | |
Tameka Janay Watson, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 750 Echo St Nw Apt 1514, Atlanta, GA 30318 Phone: 901-626-6630 | |
Olivia Taylor Krek, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1400 Tullie Rd Ne, Atlanta, GA 30329 Phone: 404-785-9465 | |
Kesha Chanel Palmer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2296 Henderson Mill Rd Ne Ste 116, Atlanta, GA 30345 Phone: 757-652-6488 | |
Grace Burton, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1465 Howell Mill Rd Nw Ste 300a, Atlanta, GA 30318 Phone: 404-254-5905 | |
Ms. Christine Nicole Swafford, M.S., R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 777 Cleveland Ave Sw, Suite 516, Atlanta, GA 30315 Phone: 404-761-0819 Fax: 404-768-2336 | |
Shannon Leigh Davis, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 315 Boulevard Ne, Suite 332, Atlanta, GA 30312 Phone: 404-881-8020 |