VITALITY AGELESS CENTER LLC
NPI 1326843277
Nurse Practitioner - Family in Memphis, TN

Active since February 14, 2025
5100 POPLAR AVE FL 27, MEMPHIS, TN 38137(770) 614-6266 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Vitality Ageless Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALITY AGELESS CENTER LLC (NPI 1326843277) is a healthcare organization registered as a family in Memphis, Tennessee and active in the NPI registry since February 2025. The organization lists Jessica Jones, Ao, as its authorized official.

NPPES Registry Identity

NPI1326843277
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameVITALITY AGELESS CENTER LLC
Location Address5100 POPLAR AVE FL 27Memphis, TN 38137-2701
Mailing Address1300 Peachtree Industrial Blvd Ste 1201Suwanee, GA 30024-4550
Organization SubpartNo
Authorized OfficialJessica JonesAo · (215) 292-0275
Enumeration DateFebruary 14, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1326843277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
5100 POPLAR AVE FL 27, Memphis, TN 38137

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitality Ageless Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vitality Ageless Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1316457179
6670 STAGE RD
Bartlett, TN 38134
(901) 384-9009
✔ PECOS7.0 mi
Nurse Practitioner
NPI 1922338086
41800 W 11 MILE RD STE 109
Novi, MI 48375
(847) 275-9504
✔ PECOS615 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitality Ageless Center LLC's NPI number?

The NPI number for Vitality Ageless Center LLC is 1326843277. It was assigned to this organization in the NPPES registry on February 14, 2025.

Where is Vitality Ageless Center LLC located?

Vitality Ageless Center LLC is located at 5100 Poplar Ave Fl 27, Memphis, TN 38137. The listed phone number is (770) 614-6266.

What is Vitality Ageless Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Vitality Ageless Center LLC enrolled in Medicare?

Yes. Vitality Ageless Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitality Ageless Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Vitality Ageless Center LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vitality Ageless Center LLC was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.