MEDICARE: MEGAN STAFFORD MS, RDN/LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	LD004743	GA

General Provider Information

NPI Number	:	1427994276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN STAFFORD MS, RDN/LD

Provider Business Mailing Address
First Line	:	1870 THE EXCHANGE SE STE 220
Second Line	:	PMB 911044
City	:	ATLANTA
State	:	GA
Zip	:	30339-2171
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1870 THE EXCHANGE SE STE 220
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-2171
Country	:	US
Telephone Number	:	512-399-9039
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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