1. Home
  2. Directory
  3. Florida
  4. Tallahassee
  5. Family Medicine
  6. NPI Profile

ABUNDANT LIFE INSTITUTE
NPI 1407505431
Family Medicine in Tallahassee, FL

Active since March 18, 2022CLIA 10D2262144 · Waiver
2646 CENTENNIAL PL STE A, TALLAHASSEE, FL 32308(850) 402-6210 Get Directions Write a Review

NPPES record last updated: January 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2023, Oct 12, 2022 (2 updates tracked since 2022).

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

NPI1407505431
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameABUNDANT LIFE INSTITUTE, LLC
Location Address2646 CENTENNIAL PL STE ATallahassee, FL 32308-0573
Mailing Address2646 Centennial Pl Ste ATallahassee, FL 32308-0573
Phone(850) 402-6210
Organization SubpartNo
Authorized OfficialBrandy C WillisOwner · (850) 702-0300
Enumeration DateMarch 18, 2022
Last NPPES UpdateJanuary 7, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2023
✔ NPI 1407505431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
2646 CENTENNIAL PL STE A, Tallahassee, FL 32308
Open in Google Maps ↗

Other Names 1

Doing Business AsAbundant Life Institute

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

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, FL
Active · expires Jun 8, 2028
CLIA Number10D2262144
Laboratory TypePhysician Office
Certificate Effective DateJune 9, 2026
Certificate Expiration DateJune 8, 2028
Laboratory DirectorBrandy C. Willis
Laboratory Phone(850) 702-0300
Laboratory LocationAbundant Life Institute2646 Centennial Place Suite A, Tallahassee, FL 32308
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

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

BRANDY C. WILLIS M.D.
Family Medicine
2646 CENTENNIAL PL STE A
TALLAHASSEE, FL 32308
Leon County (850) 702-0300

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 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.

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.

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.