Organization Active NPI

Evelastyn Grip LLC

  • Prosthetic/Orthotic Supplier
  • Kennesaw, GA
National Provider Identifier
1669317285
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
EVELASTYN GRIP LLC
Practice address
2920 George Busbee Pkwy NW
Kennesaw, GA 30144-4819
Phone
(470) 676-4162
NPI assigned
Apr 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Authorized official

Name
Evelyn WestNPI 1659063576
Title
Owner
Phone
(470) 676-4162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2920 George Busbee Pkwy NW
Kennesaw, GA 30144-4819

Mailing address

2920 George Busbee Pkwy NW
Kennesaw, GA 30144-4819
Phone (470) 676-4162

National Provider Directory

National Provider Directory

Locations

2920 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (470) 676-4162

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": "1776729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1669317285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444819",
            "telephone_number": "470-676-4162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 GEORGE BUSBEE PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301444819",
            "telephone_number": "470-676-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELASTYN GRIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-21",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-676-4162"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.