OMNI COMMUNITY HEALTH
NPI 1316573199
Clinic/Center - Mental Health (Including Community Mental Health Center) in Goodlettsville, TN

Active since March 12, 2020CLIA 44D2217765 · Waiver
740 CONFERENCE DRIVE, SUITE 101, GOODLETTSVILLE, TN 37072(615) 992-9082(615) 781-0688 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 2, 2020, Mar 12, 2020 (2 updates tracked since 2020).

About Omni Community Health NPPES

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

OMNI COMMUNITY HEALTH (NPI 1316573199) is a healthcare organization registered as a mental health (including community mental health center) in Goodlettsville, Tennessee and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Mark Just, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1316573199
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameOMNI COMMUNITY HEALTH
Location Address740 CONFERENCE DRIVE, SUITE 101Goodlettsville, TN 37072-2084
Mailing Address301 S Perimeter Park Drive, Suite 210Nashville, TN 37211-4128 · (615) 726-3603 · Fax (615) 827-0421
Fax(615) 781-0688
Organization SubpartNo
Authorized OfficialMark JustChief Executive Officer · (615) 726-3603
Enumeration DateMarch 12, 2020
Last NPPES UpdateSeptember 2, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2020
NPI 1316573199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
740 CONFERENCE DRIVE, Goodlettsville, TN 37072

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 44D2217765

Omni Community Health - Goodlettsville · Goodlettsville, TN
Active · expires Mar 22, 2027
CLIA Number44D2217765
Laboratory TypePhysician Office
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorDr. Cynthia Rector
Laboratory Phone(615) 992-9082
Laboratory LocationOmni Community Health - Goodlettsville740 Conference Drive, Goodlettsville, TN 37072
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316573199, enumerated as an "organization" on March 12, 2020.

The provider is located at 740 CONFERENCE DRIVE SUITE 101 GOODLETTSVILLE, TN 37072 and the phone number is (615) 992-9082.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).