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BLUEGRASS LEGACY HEALTHCARE, PLLC
NPI 1467047258
Clinic/Center - Primary Care in Hendersonville, TN

Active since March 04, 2021CLIA 44D0950242 · Waiver
105 GLEN OAK BLVD STE 202, HENDERSONVILLE, TN 37075(615) 826-2265(615) 826-4616 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 28, 2026, Jun 13, 2024, Apr 7, 2021 and 1 more (4 updates tracked since 2021).

About Bluegrass Legacy Healthcare, Pllc NPPES

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

BLUEGRASS LEGACY HEALTHCARE, PLLC (NPI 1467047258) is a healthcare organization registered as a primary care in Hendersonville, Tennessee and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through August 20, 2028 and lists Abigail Joan Eubank, Owner, as its authorized official.

NPPES Registry Identity

NPI1467047258
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBLUEGRASS LEGACY HEALTHCARE, PLLC
Location Address105 GLEN OAK BLVD STE 202Hendersonville, TN 37075-3058
Mailing Address105 Glen Oak Blvd Ste 202Hendersonville, TN 37075-3058 · (615) 826-2265 · Fax (615) 826-4616
Phone(615) 826-2265
Fax(615) 826-4616
Organization SubpartNo
Authorized OfficialAbigail Joan EubankOwner · (615) 826-2265
Enumeration DateMarch 4, 2021
Last NPPES UpdateMay 28, 20264 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1467047258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
105 GLEN OAK BLVD STE 202, Hendersonville, TN 37075
Open in Google Maps ↗

Other Identifiers 1

Other4112769TN · Bcbst

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bluegrass Legacy Healthcare, Pllc 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 Bluegrass Legacy Healthcare, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Abigail Eubank, MSN, GNP
Nurse Practitioner
NPI 1588861207
105 GLEN OAK BLVD STE 202
Hendersonville, TN 37075
(615) 826-2265
✔ PECOS✔ Accepts MedicareSame address

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 44D0950242

Bluegrass Legacy Healthcare PLLC · Hendersonville, TN
Active · expires Aug 20, 2028
CLIA Number44D0950242
Laboratory TypePhysician Office
Certificate Effective DateAugust 21, 2026
Certificate Expiration DateAugust 20, 2028
Laboratory DirectorAbigail J. Eubank
Laboratory Phone(615) 822-2265
Laboratory LocationBluegrass Legacy Healthcare PLLC105 Glen Oak Blvd #202, Hendersonville, TN 37075
CLIA data matches this NPI record on: Name
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 Bluegrass Legacy Healthcare, PLLC's NPI number?

The NPI number for Bluegrass Legacy Healthcare, PLLC is 1467047258. It was assigned to this organization in the NPPES registry on March 4, 2021.

Where is Bluegrass Legacy Healthcare, PLLC located?

Bluegrass Legacy Healthcare, PLLC is located at 105 Glen Oak Blvd Ste 202, Hendersonville, TN 37075. The listed phone number is (615) 826-2265.

What is Bluegrass Legacy Healthcare, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Bluegrass Legacy Healthcare, PLLC enrolled in Medicare?

Yes. Bluegrass Legacy Healthcare, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bluegrass Legacy Healthcare, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bluegrass Legacy Healthcare, PLLC. 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 Bluegrass Legacy Healthcare, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0950242) is associated with this NPI, valid through August 20, 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 Bluegrass Legacy Healthcare, PLLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.