Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evolution Medical and Aesthetics PLLC

Organization Clinic/Center · NPI 1578394995

Evolution Medical and Aesthetics PLLC is a Clinic/Center in Rogersville, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3815 TN-66 Ste 1
Rogersville, TN 37857
Phone: (423) 817-3542
Fax: (423) 717-5562
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1578394995
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kelly — Owner · (423) 817-3542
NPI enumeratedAugust 8, 2024
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address239 Clifford Price Loop, Mooresburg, TN 37811

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