FEEDING THE ROOT, LLC
NPI 1801567045
Clinic/Center in Bartlett, TN

Active since September 27, 2021
2959 ELMORE PARK RD STE 8, BARTLETT, TN 38134(662) 912-4090 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2022, Sep 27, 2021 (2 updates tracked since 2021).

About Feeding The Root, Llc NPPES

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

FEEDING THE ROOT, LLC (NPI 1801567045) is a healthcare organization registered as a clinic/center in Bartlett, Tennessee and active in the NPI registry since September 2021. The organization maintains a secondary practice location in Millington and lists Samaria Donielle Grandberry, Dietitian, as its authorized official.

NPPES Registry Identity

NPI1801567045
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameFEEDING THE ROOT, LLC
Location Address2959 ELMORE PARK RD STE 8Bartlett, TN 38134-8379
Mailing Address2959 Elmore Park Rd Ste 8Bartlett, TN 38134-8379 · (662) 912-4090
Organization SubpartNo
Authorized OfficialSamaria Donielle GrandberryDietitian · (901) 351-1618
Enumeration DateSeptember 27, 2021
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1801567045 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).
2959 ELMORE PARK RD STE 8, Bartlett, TN 38134

Secondary Practice Location 1

Location 17290 Millington Arlington RdMillington, TN 38053-5611 · Phone (901) 351-1618

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Feeding The Root, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Feeding The Root, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Registered Dietitian or Nutrition Professional
NPI 1538902705
8986 BROMDEN LN E APT 207
Memphis, TN 38125
(901) 730-9876
12 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 Feeding The Root, LLC's NPI number?

The NPI number for Feeding The Root, LLC is 1801567045. It was assigned to this organization in the NPPES registry on September 27, 2021.

Where is Feeding The Root, LLC located?

Feeding The Root, LLC is located at 2959 Elmore Park Rd Ste 8, Bartlett, TN 38134. The listed phone number is (662) 912-4090.

What is Feeding The Root, LLC's specialty?

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

Is Feeding The Root, LLC enrolled in Medicare?

Yes. Feeding The Root, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Feeding The Root, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Registered Dietitian or Nutrition Professional) reassigns their Medicare billing to Feeding The Root, 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.

When was this NPI record last updated?

The NPPES record for Feeding The Root, LLC was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.