Wellvana Georgia LLC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

WELLVANA GEORGIA LLC

Practice address

20 Burton Hills Blvd Ste 100
Nashville, TN 37215-6409

Phone

(860) 501-7908

NPI assigned

Nov 4, 2020

Organization subpart

Yes

Parent organization

WELLVANA HEALTHAs reported in NPPES

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

Authorized official

Name

Catherine Smith

Title

VP Operations

Phone

(860) 501-7908

Specialties & licenses 1

Addresses

Part of

Wellvana Health

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wellvana Health

  • Exclusive Provider Organization
  • Nashville, TN
  • NPI 1023618378
  NPPES parent name

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1851992945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BURTON HILLS BLVD STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156409",
            "telephone_number": "860-501-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLVANA GEORGIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLVANA HEALTH",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "860-501-7908"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellvana Alabama LLC
• Wellvana Arizona LLC
• Wellvana Colorado LLC
• Wellvana Essential Care, LLC
• Wellvana Florida LLC
• Wellvana Health
• Wellvana Louisiana LLC
• Wellvana Maryland, LLC
• Wellvana Michigan LLC
• Wellvana Mississippi LLC

• Exclusive Provider Organization in Nashville, TN
• Providers in Nashville, TN by specialty
• Exclusive Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.