MEDICARE: N OF 1 WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1609719780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N OF 1 WELLNESS

Provider Business Mailing Address
First Line	:	7127 CROSSROADS BLVD STE 102
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2827
Country	:	US
Telephone Number	:	615-908-4404
Fax Number	:

Provider Business Practice Location Address
First Line	:	7127 CROSSROADS BLVD STE 102
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2827
Country	:	US
Telephone Number	:	615-908-4404
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN GRASS
Credential	:
Telephone Number	:	615-587-9021

Provider Enumeration Date	:	04/13/2026
Last Update Date	:	04/13/2026

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Directions to “N OF 1 WELLNESS ” Practice Location

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