Bevel Up Labs

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

BEVEL UP LABS

Practice address

770 Old Roswell PL Ste I500
Roswell, GA 30076-8654

Phone

(470) 294-1760

NPI assigned

Jan 10, 2022

Organization subpart

Yes

Parent organization

GRANT GIRL, INCAs reported in NPPES

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

Authorized official

Name

Angela Grant

Title

Owner

Phone

(678) 699-6978

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Bevel Up Labs

Locations

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

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645315200000",
    "number": "1073274288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 673362",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300060057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 OLD ROSWELL PL STE I500",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768654",
            "telephone_number": "470-294-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVEL UP LABS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRANT GIRL, INC",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-02-20",
        "certification_date": "2022-02-20",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-699-6978"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Betancur Gomez, NP
• Soumya Shivaram Betha, RPH
• Josh Bethune
• Shannon Woodall Betsill, CRNA
• Grace Betz, PT, DPT
• Meghan Bevill
• Beyond Behavioral Solutions, LLC
• Beyond Birth Collective LLC
• Sevilya R Bezginova, FNP
• Faisal Manzoor Bhutta, M.D

• Health Service Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.