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Evolutio Wellness LLC

NPI 1487522546ActiveOrganization· Nurse Practitioner· Stockbridge, GA

Nurse Practitioner in Stockbridge, Georgia, registered in NPPES in October 2025. The authorized official on file is Angelique Young, FNP-C, Owner.

Overview

NPI1487522546
StatusActive
Entity typeOrganization
NPI issuedOct 29, 2025
Last updated in NPPESOct 29, 2025
Certified by providerOct 28, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner Primary363L00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Nurse Practitioner providers in Stockbridge

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