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

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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, 2026 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

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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

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, 2026

CLIA Number44D0950242

Laboratory TypePhysician Office

Certificate Effective DateAugust 21, 2024

Certificate Expiration DateAugust 20, 2026

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.

Other Providers at the Same Location NPPES

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

MRS. ABIGAIL JOAN EUBANK MSN, GNP

Nurse Practitioner (Primary Care)

105 GLEN OAK BLVD STE 202
HENDERSONVILLE, TN 37075

Sumner County (615) 826-2265

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.

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, 2026. 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 2 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.