Organization Active NPI

Evertree Wellness, LLC

  • Clinic/Center
  • Roswell, GA
National Provider Identifier
1174409403
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 13, 2025

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.