NPI age
4 years
Enumerated 2022-01-10
● Active Type 2 · Organization
Subpart
Bevel Up Labs
Bevel Up Labs is 1 of 337 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Grant
Owner
Last NPPES update
2022-02-20
Source: monthly bulk 2026-05
How this organization compares
Across 337 active clinic/center providers in Georgia.
NPI age
4 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 22% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-01Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
770 Old Roswell Pl Ste I500
Roswell, GA 300768654
Mailing address
Po Box 673362
Marietta, GA 300060057
Authorized official
Angela Grant
Owner
📞 6786996978
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Avion Nixon, FNP Nurse Practitioner NPI 1144890047
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinical Medical Laboratory(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Grant Girl, Inc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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