Guardian Biologics LLC
Organization Active NPI Specialist · Mount Juliet, TN
NPI 1033890876 · NPPES record last updated Feb 5, 2025
Key facts
- NPI
- 1033890876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 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
- Organization subpart
- No
Authorized official
- Name
- April Evans
- Title
- Credentialing
- Phone
- (919) 429-1901
Practitioners 115
-
Jordan Hibbard, FNP
-
Linda S Housewright, FNP
-
Alicia Landers, FNP
-
Krystal Hollingshead Lynch, A.P.R.N., R.N.
-
Carleen Marie Ogle, FNP
-
Brittany Rhea Rauchle, APRN, FNP-C
-
Heath Tunnell, FNP
-
Brandis Bannister, FNP
-
Michael Raymond Bias, APRN
-
Jenna Lynn Bishop, FNP
-
Anna K Broster, APRN
-
Katelyn Campisi, CRNP
-
Lauren Camp Carsten, NP-C
-
Jennifer Hall, AGNP
-
Michael Anthony Jones, FNP-C
-
Gwendell McDaniel Kelley, APRN
-
Zane Penton Kelly, CRNP
-
Noli Klein, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (7 enrollments) in SC, NJ, AL, TN, KY, CA, VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
7439 Canton Street Rd
Baldwinsville, NY 13027
Phone (865) 323-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
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
Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.