THRIVE HEALTH AND WELLNESS CENTER
NPI 1073375242
Clinic/Center - Primary Care in Clinton, TN

Active since January 24, 2024CLIA 44D2298539 · Waiver
100 N MAIN ST RM 105, CLINTON, TN 37716(865) 350-5225 Get Directions Write a Review

NPPES record last updated: November 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2024, Apr 1, 2024 (2 updates tracked since 2024).

About Thrive Health And Wellness Center NPPES

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

THRIVE HEALTH AND WELLNESS CENTER (NPI 1073375242) is a healthcare organization registered as a primary care in Clinton, Tennessee and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Jody Addair, Clinical Ops Project Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073375242
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePROACTIVE MD TN PC
Location Address100 N MAIN ST RM 105Clinton, TN 37716-3623
Mailing Address124 Allawood CtSimpsonville, SC 29681-6207 · (864) 501-0751
Organization SubpartNo
Authorized OfficialJody AddairClinical Ops Project Coordinator · (317) 556-0017
Enumeration DateJanuary 24, 2024
Last NPPES UpdateNovember 22, 20242 updates tracked since enumeration
NPPES CertifiedNovember 22, 2024
NPI 1073375242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
100 N MAIN ST RM 105, Clinton, TN 37716

Other Names 1

Doing Business AsThrive Health And Wellness Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2298539

Proactive MD Tn PC Dba Thrive Health And Wellness Center · Clinton, TN
Active · expires Feb 4, 2028
CLIA Number44D2298539
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorJilliane L. Mcnew
Laboratory Phone(865) 350-5225
Laboratory LocationProactive MD Tn PC Dba Thrive Health And Wellness Center100 N Main St, Ste 105, Clinton, TN 37716
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
100 N MAIN ST RM 105
CLINTON, TN 37716
Clinic/Center (Multi-Specialty)
100 N MAIN ST RM 105
CLINTON, TN 37716

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 Proactive MD Tn PC's NPI number?

The NPI number for Proactive MD Tn PC is 1073375242. It was assigned to this organization in the NPPES registry on January 24, 2024. The provider is doing business as Thrive Health And Wellness Center.

Where is Proactive MD Tn PC located?

Proactive MD Tn PC is located at 100 N Main St Rm 105, Clinton, TN 37716. The listed phone number is (865) 350-5225.

What is Proactive MD Tn PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Proactive MD Tn PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2298539) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Proactive MD Tn PC was last updated on November 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.