AGAPE FAMILY HEALTHCARE LLC
NPI 1154654440
Clinic/Center - Primary Care in Madison, TN
About Agape Family Healthcare Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AGAPE FAMILY HEALTHCARE LLC (NPI 1154654440) is a healthcare organization registered as a primary care in Madison, Tennessee and active in the NPI registry since September 2009. The organization holds a CLIA Waiver certificate valid through June 12, 2028 and lists Beverly Davidson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Agape Family Healthcare Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Agape Family Healthcare LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 44D2042480
Agape Family Healthcare · Madison, TNFrequently 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 Agape Family Healthcare LLC's NPI number?
The NPI number for Agape Family Healthcare LLC is 1154654440. It was assigned to this organization in the NPPES registry on September 17, 2009.
Where is Agape Family Healthcare LLC located?
Agape Family Healthcare LLC is located at 1037 E Old Hickory Blvd, Madison, TN 37115. The listed phone number is (615) 865-3994.
What is Agape Family Healthcare LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Agape Family Healthcare LLC enrolled in Medicare?
Yes. Agape Family Healthcare LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Agape Family Healthcare LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Agape Family Healthcare LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Agape Family Healthcare LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2042480) is associated with this NPI, valid through June 12, 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 Agape Family Healthcare LLC was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.
# Agape Family Healthcare Llc · NPI 1154654440
Primary Care organization in Madison, Tennessee. Organization record, active in the CMS NPPES registry since September 17, 2009.
## Identity
- **NPI:** 1154654440 (Entity type: Organization)
- **Enumerated:** September 17, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Beverly Davidson, OWNER
## Practice location
- **Address:** 1037 E OLD HICKORY BLVD, Madison, TN 37115
- **Phone:** (615) 865-3994 · **Fax:** (615) 865-8176
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154654440) · Data from the CMS NPPES public registry.