Genesis Wellness Weight Loss and Aesthetics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GENESIS WELLNESS WEIGHT LOSS AND AESTHETICS LLC

Practice address

2855 Stage Village CV Ste 5
Bartlett, TN 38134-4616

Phone

(901) 245-1975

Fax

(901) 688-2098

NPI assigned

Mar 17, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Sophia Noble, FNPNPI 1245600261

Title

Nurse Practitioner / Owner

Phone

(901) 830-8850

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

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

• Sophia Noble, FNP-C

  • Family Nurse Practitioner
  • Bartlett, TN
  • NPI 1245600261
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1346040607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 STAGE VILLAGE CV STE 5",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344616",
            "telephone_number": "901-245-1975",
            "fax_number": "901-688-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 STAGE VILLAGE CV STE 5",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381344616",
            "telephone_number": "901-245-1975",
            "fax_number": "901-688-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS WELLNESS WEIGHT LOSS AND AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER / OWNER",
        "authorized_official_telephone_number": "901-830-8850",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rex Joseph Gaines, FNP-C
• Melanie A Gallimore, MA
• Emma Gant, PHARMD
• Torrie Marie Garner, OD
• Nicole Lynn Gebke, CMSW
• Charles Gentry, PA-C
• Schrease Shandrochele Gentry, C.N.A.
• David Benjamin Gibson, MD
• Stacy Gibson, FNP
• Elizabeth Litzinger Gillaspie, LCSW

• Clinic/Center in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.