Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AUTHENTIC MEDICAL AESTHETICS & WELLNESS LLC
NPI 1477479871
Nurse Practitioner in Maryville, TN

Q: What is Authentic Medical Aesthetics & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 29, 2026

204 SIMMONS ST, MARYVILLE, TN 37801(865) 980-8029(865) 980-8074 Get Directions Write a Review

NPPES record added: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Authentic Medical Aesthetics & Wellness Llc NPPES

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

AUTHENTIC MEDICAL AESTHETICS & WELLNESS LLC (NPI 1477479871) is a healthcare organization registered as a nurse practitioner in Maryville, Tennessee and active in the NPI registry since June 2026. The organization lists Morgan Broyles, Owner, as its authorized official.

NPPES Registry Identity

NPI1477479871

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameAUTHENTIC MEDICAL AESTHETICS & WELLNESS LLC

Location Address204 SIMMONS STMaryville, TN 37801-4750

Mailing Address204 Simmons StMaryville, TN 37801-4750 · (865) 980-8029 · Fax (865) 980-8074

Phone(865) 980-8029

Fax(865) 980-8074

Organization SubpartNo

Authorized OfficialMorgan BroylesOwner · (865) 310-9826

Enumeration DateJune 29, 2026

NPPES CertifiedJune 29, 2026

✔ NPI 1477479871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

204 SIMMONS ST, Maryville, TN 37801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

ACBC VENTURES LLC

In Home Supportive Care

204 SIMMONS ST
MARYVILLE, TN 37801

Blount County (865) 210-8842

MORGAN BROYLES NP

Nurse Practitioner (Family)

204 SIMMONS ST
MARYVILLE, TN 37801

Blount County (865) 980-8029

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 Authentic Medical Aesthetics & Wellness LLC's NPI number?

The NPI number for Authentic Medical Aesthetics & Wellness LLC is 1477479871. It was assigned to this organization in the NPPES registry on June 29, 2026.

Where is Authentic Medical Aesthetics & Wellness LLC located?

Authentic Medical Aesthetics & Wellness LLC is located at 204 Simmons St, Maryville, TN 37801. The listed phone number is (865) 980-8029.

What is Authentic Medical Aesthetics & Wellness LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Authentic Medical Aesthetics & Wellness LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.