LEAVITT FAMILY MEDICINE, PLLC
NPI 1346413077
Family Medicine in Hendersonville, TN

Active since April 02, 2008CLIA 44D1100935 · Waiver
353 NEW SHACKLE ISLAND RD, SUITE 103A, HENDERSONVILLE, TN 37075(615) 826-5664(615) 826-5665 Get Directions Write a Review

NPPES record last updated: August 14, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Leavitt Family Medicine, Pllc NPPES

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

LEAVITT FAMILY MEDICINE, PLLC (NPI 1346413077) is a healthcare organization registered as a family medicine in Hendersonville, Tennessee and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through June 15, 2027 and lists Paul Jason Leavitt, Family Physician, as its authorized official.

NPPES Registry Identity

NPI1346413077
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLEAVITT FAMILY MEDICINE, PLLC
Location Address353 NEW SHACKLE ISLAND RD, SUITE 103AHendersonville, TN 37075-2379
Mailing Address353 New Shackle Island Rd, Suite 103aHendersonville, TN 37075-2931 · (615) 826-5664 · Fax (615) 826-5665
Fax(615) 826-5665
Organization SubpartNo
Authorized OfficialPaul Jason LeavittFamily Physician · (615) 826-5664
Enumeration DateApril 2, 2008
Last NPPES UpdateAugust 14, 2008
✔ NPI 1346413077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · MD0000038410
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
353 NEW SHACKLE ISLAND RD, Hendersonville, TN 37075

Other Identifiers 2

Medicare UPINI13850TN
Medicare PIN33375832TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leavitt Family Medicine, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Leavitt Family Medicine, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1578615522
353 NEW SHACKLE ISLAND RD STE 140C
Hendersonville, TN 37075
(615) 826-5664
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1477107274
491 SAGE RD N STE 200
White House, TN 37188
(615) 672-7122
✔ PECOS✔ Accepts Medicare10 mi

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 44D1100935

Leavitt Family Medicine, PLLC · Hendersonville, TN
Active · expires Jun 15, 2027
CLIA Number44D1100935
Laboratory TypePhysician Office
Certificate Effective DateJune 16, 2025
Certificate Expiration DateJune 15, 2027
Laboratory DirectorPaul J. Leavitt MD
Laboratory Phone(615) 826-5664
Laboratory LocationLeavitt Family Medicine, PLLC353 New Shackle Island Rd, Suite 140C, Hendersonville, TN 37075
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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leavitt Family Medicine, PLLC's NPI number?

The NPI number for Leavitt Family Medicine, PLLC is 1346413077. It was assigned to this organization in the NPPES registry on April 2, 2008.

Where is Leavitt Family Medicine, PLLC located?

Leavitt Family Medicine, PLLC is located at 353 New Shackle Island Rd Suite 103A, Hendersonville, TN 37075. The listed phone number is (615) 826-5664.

What is Leavitt Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Leavitt Family Medicine, PLLC enrolled in Medicare?

Yes. Leavitt Family Medicine, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leavitt Family Medicine, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Leavitt Family Medicine, PLLC, in Family Practice and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Leavitt Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1100935) is associated with this NPI, valid through June 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Leavitt Family Medicine, PLLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Leavitt Family Medicine, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leavitt Family Medicine, PLLC was last updated on August 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.