ABUNDANT LIFE INSTITUTE
NPI 1407505431
Family Medicine in Tallahassee, FL
About Abundant Life Institute NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ABUNDANT LIFE INSTITUTE (NPI 1407505431) is a healthcare organization registered as a family medicine in Tallahassee, Florida and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through June 8, 2028 and lists Brandy C Willis, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Abundant Life Institute is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Abundant Life Institute, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 10D2262144
Abundant Life Institute · Tallahassee, FLFrequently 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 Abundant Life Institute, LLC's NPI number?
The NPI number for Abundant Life Institute, LLC is 1407505431. It was assigned to this organization in the NPPES registry on March 18, 2022. The provider is doing business as Abundant Life Institute.
Where is Abundant Life Institute, LLC located?
Abundant Life Institute, LLC is located at 2646 Centennial Pl Ste A, Tallahassee, FL 32308. The listed phone number is (850) 402-6210.
What is Abundant Life Institute, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Abundant Life Institute, LLC enrolled in Medicare?
Yes. Abundant Life Institute, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Abundant Life Institute, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Abundant Life Institute, LLC, 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 at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Abundant Life Institute, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2262144) is associated with this NPI, valid through June 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Abundant Life Institute, LLC accept?
Health plans from Capital Health Plan list Abundant Life Institute, LLC 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 Abundant Life Institute, LLC was last updated on January 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Abundant Life Institute · NPI 1407505431
Family Medicine organization in Tallahassee, Florida. Organization record, active in the CMS NPPES registry since March 18, 2022.
## Identity
- **NPI:** 1407505431 (Entity type: Organization)
- **Enumerated:** March 18, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Abundant Life Institute, Llc
- **Organization subpart:** No
- **Authorized official:** Brandy Willis, OWNER
## Practice location
- **Address:** 2646 CENTENNIAL PL STE A, Tallahassee, FL 32308-0573
- **Phone:** (850) 402-6210
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407505431) · Data from the CMS NPPES public registry.