NPIMap

Organization Active NPI

Guardian Biologics LLC

  • Specialist
  • Mount Juliet, TN
National Provider Identifier
1033890876
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GUARDIAN BIOLOGICS LLC
Practice address
2099 N Mount Juliet Rd Ste 7
Mount Juliet, TN 37122-3386
Phone
(919) 429-1901
NPI assigned
Jul 25, 2023
Reactivated
Oct 31, 2023
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
April Evans
Title
Credentialing
Phone
(919) 429-1901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2099 N Mount Juliet Rd Ste 7
Mount Juliet, TN 37122-3386

Mailing address

4020 Progressive Church Rd
Princeton, NC 27569-8621
Phone (919) 429-1901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NJ, AL, TN, KY, CA, VA7 enrollments

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
O20230905000374 SC Part B Supplier - Clinic/Group Practice 8123481470 Receives reassigned benefits from 13 practitioners
Practice locations: Greenville, SC
O20230926000297 NJ Part B Supplier - Clinic/Group Practice 8123481470 Receives reassigned benefits from 1 practitioner
Practice locations: North Haledon, NJ
O20230929002218 AL Part B Supplier - Clinic/Group Practice 8123481470 Receives reassigned benefits from 5 practitioners
Practice locations: Gadsden, AL
O20231011002956 TN Part B Supplier - Clinic/Group Practice 8123481470 Receives reassigned benefits from 12 practitioners
Practice locations: Murfreesboro, TN
O20231118000093 KY Part B Supplier - Clinic/Group Practice 8123481470 Receives reassigned benefits from 6 practitioners
Practice locations: Corbin, KY
O20240516000236 CA Part B Supplier - Clinic/Group Practice 8123481470 Receives reassigned benefits from 1 practitioner
Practice locations: Calabasas, CA
O20241205003248 VA Part B Supplier - Clinic/Group Practice 8123481470 Receives reassigned benefits from 4 practitioners
Practice locations: Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

1500 Medical Center Pkwy
Ste 16
Murfreesboro, TN 37129
Phone (714) 926-6202

Practitioners & affiliated clinicians

Practitioners 115

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 115

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1033890876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 PROGRESSIVE CHURCH RD",
            "city": "PRINCETON",
            "state": "NC",
            "postal_code": "275698621",
            "telephone_number": "919-429-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 N MOUNT JULIET RD STE 7",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223386",
            "telephone_number": "919-429-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN BIOLOGICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "deactivation_date": "2023-10-14",
        "reactivation_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "919-429-1901"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.