Active NPI
Evertree Wellness, LLC
- Clinic/Center
- Roswell, GA
National Provider Identifier
1174409403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- EVERTREE WELLNESS, LLC
- Practice address
- 770 Old Roswell PL Ste I500
Roswell, GA 30076-8654 - Phone
- (770) 843-5352
- NPI assigned
- Aug 13, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avion Bailey, BSN-RN, MSN-FNP
- Title
- Owner
- Phone
- (678) 304-7242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
770 Old Roswell PL Ste I500
Roswell, GA 30076-8654
Mailing address
707 Deerwood Dr
Stockbridge, GA 30281-6321
Phone (770) 843-5352
Other names 1
- Evertree Wellness, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Roswell, GA
- NPI 1144890047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755043200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755043200000",
"number": "1174409403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 DEERWOOD DR",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816321",
"telephone_number": "770-843-5352"
},
{
"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": "770-843-5352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERTREE WELLNESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-13",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "AVION",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-304-7242",
"authorized_official_credential": "BSN-RN, MSN-FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Evertree Wellness, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.