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WELLNESS EVOLUTION
NPI 1548064470
Nurse Practitioner - Psychiatric/Mental Health in Cordova, TN

Active since April 01, 2025CLIA 44D2342354 · Waiver
1148 VICKERY LN, CORDOVA, TN 38016(901) 206-2894(901) 554-8330 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellness Evolution NPPES

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

WELLNESS EVOLUTION (NPI 1548064470) is a healthcare organization registered as a psychiatric/mental health in Cordova, Tennessee and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Allyson Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1548064470
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameWELLNESS EVOLUTION
Location Address1148 VICKERY LNCordova, TN 38016-1619
Mailing Address6025 Stage Rd Ste 42-362Bartlett, TN 38134-8374 · (901) 206-2894 · Fax (901) 554-8330
Phone(901) 206-2894
Fax(901) 554-8330
Organization SubpartNo
Authorized OfficialAllyson WilliamsOwner · (870) 217-6743
Enumeration DateApril 1, 2025
Last NPPES UpdateSeptember 30, 2025
NPPES CertifiedSeptember 30, 2025
✔ NPI 1548064470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1148 VICKERY LN, Cordova, TN 38016
Open in Google Maps ↗

Other Names 1

Doing Business AsWellness Evolution

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

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 44D2342354

Wellness Evolution PLLC · Cordova, TN
Active · expires Apr 16, 2028
CLIA Number44D2342354
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorAllyson B. Williams
Laboratory Phone(901) 206-2894
Laboratory LocationWellness Evolution PLLC1148 Vickery Lane, Cordova, TN 38018
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

ANGELINA BURTON MS, LPC-MHSP-T
Counselor (Mental Health)
1148 VICKERY LN
CORDOVA, TN 38016
Shelby County (901) 308-6679
DENISE BROWN M.S., LPC/MHSP
Counselor (Mental Health)
1148 VICKERY LN
CORDOVA, TN 38016
Shelby County (901) 270-4193

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 Wellness Evolution's NPI number?

The NPI number for Wellness Evolution is 1548064470. It was assigned to this organization in the NPPES registry on April 1, 2025.

Where is Wellness Evolution located?

Wellness Evolution is located at 1148 Vickery Ln, Cordova, TN 38016. The listed phone number is (901) 206-2894.

What is Wellness Evolution's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Wellness Evolution hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2342354) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellness Evolution was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.