Bwell4Ever, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

BWELL4EVER, LLC

Practice address

1447 Vance Rd Ste 106
Chattanooga, TN 37421-3665

Phone

(423) 531-9355

Fax

(423) 531-9356

NPI assigned

Sep 8, 2015

Last updated

Dec 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marlene Geren, RNNPI 1174907398

Title

Owner

Phone

(423) 531-9355

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Marlene Geren

  • Community Health Registered Nurse
  • Ringgold, GA
  • NPI 1174907398
  NPD Authorized official
• Leona Ruth Gulley, PA-C

  • Medical Physician Assistant
  • Chattanooga, TN
  • NPI 1093287955
  NPD

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1043688138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7476 NASHVILLE ST",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362358",
            "telephone_number": "706-935-3055",
            "fax_number": "706-935-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 VANCE RD STE 106",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213665",
            "telephone_number": "423-531-9355",
            "fax_number": "423-531-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BWELL4EVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "GEREN",
        "authorized_official_first_name": "MARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-531-9355",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "621999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Lane Buttram IV, PHARM.D.
• Alexander Buttress, MD
• Alexandra Mahrt Butts, CRNA
• Jeffrey Butts, O.D.
• BW Pediatric Dentistry PLLC (Northshore Pediatric Dentistry)
• By Our Hands PLLC
• Stephanie Lee Byard, PA-C
• Jeonga Byeon
• Brynn Atchley Byers, CRNP-AC
• Audrey Grace Byrd, MS, CCC-SLP

• Community Health Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Community Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.