UNITY HEALTH & WELLNESS LLC
NPI 1609317692
Clinic/Center - Rural Health in Bolivar, TN

Active since March 10, 2017CLIA 44D2125783 · Waiver
107 TENNESSEE ST, BOLIVAR, TN 38008(731) 212-3196(731) 212-3193 Get Directions Write a Review

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

Record update history: Mar 25, 2025, Mar 13, 2017 (2 updates tracked since 2017).

About Unity Health & Wellness Llc NPPES

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

UNITY HEALTH & WELLNESS LLC (NPI 1609317692) is a healthcare organization registered as a rural health in Bolivar, Tennessee and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through February 13, 2027 and lists Gregary Coleman Byers, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1609317692
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameUNITY HEALTH & WELLNESS LLC
Location Address107 TENNESSEE STBolivar, TN 38008-1822
Mailing Address107 Tennessee StBolivar, TN 38008-1822 · (731) 212-3196 · Fax (731) 212-3193
Fax(731) 212-3193
Organization SubpartNo
Authorized OfficialGregary Coleman ByersOwner/provider · (731) 212-3196
Enumeration DateMarch 10, 2017
Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1609317692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X · License 18850 (TN)
107 TENNESSEE ST, Bolivar, TN 38008

Other Identifiers 1

MedicaidQ010912TN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Unity Health & Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTennesseeEnrollment IDO20210816003114Part A · Rural Health ClinicDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Unity Health & Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144636119
107 TENNESSEE ST
Bolivar, TN 38008
(731) 212-3196
✔ PECOS✔ Accepts MedicareSame address

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

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 44D2125783

Unity Health & Welness LLC · Bolivar, TN
Active · expires Feb 13, 2027
CLIA Number44D2125783
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorGregary C. Byers
Laboratory Phone(731) 609-2600
Laboratory LocationUnity Health & Welness LLC107 Tennessee Street, Bolivar, TN 38008
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Unity Health & Wellness LLC's NPI number?

The NPI number for Unity Health & Wellness LLC is 1609317692. It was assigned to this organization in the NPPES registry on March 10, 2017.

Where is Unity Health & Wellness LLC located?

Unity Health & Wellness LLC is located at 107 Tennessee St, Bolivar, TN 38008. The listed phone number is (731) 212-3196.

What is Unity Health & Wellness LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Unity Health & Wellness LLC enrolled in Medicare?

Yes. Unity Health & Wellness LLC is registered in the Medicare PECOS enrollment system.

When is Unity Health & Wellness LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Tennessee, Rural Health Clinic) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Unity Health & Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Unity Health & Wellness 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Unity Health & Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2125783) is associated with this NPI, valid through February 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Unity Health & Wellness LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Unity Health & Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Unity Health & Wellness LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.