GENESIS WELLNESS WEIGHT LOSS AND AESTHETICS LLC
NPI 1346040607
Clinic/Center in Bartlett, TN

Active since March 17, 2025CLIA 44D2320850 · Waiver
2855 STAGE VILLAGE CV STE 5, BARTLETT, TN 38134(901) 245-1975(901) 688-2098 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Wellness Weight Loss And Aesthetics Llc NPPES

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

GENESIS WELLNESS WEIGHT LOSS AND AESTHETICS LLC (NPI 1346040607) is a healthcare organization registered as a clinic/center in Bartlett, Tennessee and active in the NPI registry since March 2025. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Sophia Noble, Nurse Practitioner / Owner, as its authorized official.

NPPES Registry Identity

NPI1346040607
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESIS WELLNESS WEIGHT LOSS AND AESTHETICS LLC
Location Address2855 STAGE VILLAGE CV STE 5Bartlett, TN 38134-4616
Mailing Address2855 Stage Village Cv Ste 5Bartlett, TN 38134-4616 · (901) 245-1975 · Fax (901) 688-2098
Fax(901) 688-2098
Organization SubpartNo
Authorized OfficialSophia NobleNurse Practitioner / Owner · (901) 830-8850
Enumeration DateMarch 17, 2025
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1346040607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2855 STAGE VILLAGE CV STE 5, Bartlett, TN 38134

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2320850

Genesis Wellness Weight-Loss & Aesthetics · Bartlett, TN
Active · expires Mar 24, 2027
CLIA Number44D2320850
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2025
Certificate Expiration DateMarch 24, 2027
Laboratory DirectorSophia M. Noble
Laboratory Phone(901) 245-1975
Laboratory LocationGenesis Wellness Weight-Loss & Aesthetics2851 Stage Village Cove, Suite 1, Bartlett, TN 38134
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2855 STAGE VILLAGE CV STE 5
BARTLETT, TN 38134

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 Genesis Wellness Weight Loss And Aesthetics LLC's NPI number?

The NPI number for Genesis Wellness Weight Loss And Aesthetics LLC is 1346040607. It was assigned to this organization in the NPPES registry on March 17, 2025.

Where is Genesis Wellness Weight Loss And Aesthetics LLC located?

Genesis Wellness Weight Loss And Aesthetics LLC is located at 2855 Stage Village Cv Ste 5, Bartlett, TN 38134. The listed phone number is (901) 245-1975.

What is Genesis Wellness Weight Loss And Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Genesis Wellness Weight Loss And Aesthetics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2320850) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Genesis Wellness Weight Loss And Aesthetics LLC was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.