Unity Health & Wellness LLC

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

UNITY HEALTH & WELLNESS LLC

Practice address

107 Tennessee St
Bolivar, TN 38008-1822

Phone

(731) 212-3196

Fax

(731) 212-3193

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

Gregary Coleman Byers, FNP-CNPI 1144636119

Title

Owner/Provider

Phone

(731) 212-3196

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 883851

Legal name

UNITY HEALTH & WELLNESS LLC

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 1, 2021

Last certification

Nov 1, 2021

Ownership / control type

1A

Organization structure

LLCProprietary

Incorporated

Mar 10, 2017 in TN

Enrollment address

107 Tennessee St
Bolivar, TN 38008-1822

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15372/brand/1/csg/1/fhir/r4

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Gregary Byers, NP-C

  • Rural Health Clinic/Center
  • Bolivar, TN
  • NPI 1144636119

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 1

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

• Gregary Byers, NP-C

  • Rural Health Clinic/Center
  • Bolivar, TN
  • NPI 1144636119
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1609317692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 TENNESSEE ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081822",
            "telephone_number": "731-212-3196",
            "fax_number": "731-212-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 TENNESSEE ST",
            "city": "BOLIVAR",
            "state": "TN",
            "postal_code": "380081822",
            "telephone_number": "731-212-3196",
            "fax_number": "731-212-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "BYERS",
        "authorized_official_first_name": "GREGARY",
        "authorized_official_middle_name": "COLEMAN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "731-212-3196",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TN",
            "license": "18850",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q010912",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rural Health Clinic/Center in Bolivar, TN
• Providers in Bolivar, TN by specialty
• Rural Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.