Stephanie Brock Nunnery, RD, LD
NPI 1306928452ActiveIndividual· Dietitian, Registered· Colquitt, GA
Dietitian, Registered (RD, LD) in Colquitt, Georgia, licensed in GA, with an NPI issued in October 2006. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1306928452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RD, LD |
| Sole proprietor | No |
| NPI issued | Oct 19, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | LD002882 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (GA) |
|---|
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