Tailored Wellness LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

TAILORED WELLNESS LLC

Practice address

1076 Willow Springs Dr
Johnson City, TN 37604-3221

Phone

(865) 363-5812

NPI assigned

May 12, 2026

Last updated

May 12, 2026By 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

Anna Leach, PANPI 1073367751

Title

PA

Phone

(865) 363-5812

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Anna G Leach, PA

  • Physician Assistant
  • Greeneville, TN
  • NPI 1073367751
  NPD Authorized official

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1427986256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 WILLOW SPRINGS DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043221",
            "telephone_number": "865-363-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 WILLOW SPRINGS DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043221",
            "telephone_number": "865-363-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAILORED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PA",
        "authorized_official_telephone_number": "865-363-5812",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Shawn Swink, LMSW
• Ted Ford Sykes, MD
• Justin Alan Sylvester, PTA
• Victoria Szesnat
• Kim D Taber
• Talkback ABA LLC
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• Haylee Tallent
• Jill R Talley-Horne, M.D.
• Matthew Tallman, OTR/L

• Physician Assistant in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.