ABUNDANT HEALTHCARE CLINIC LLC
NPI 1982180113
Clinic/Center - Health Service in Greeneville, TN

Active since July 11, 2018CLIA 44D2158063 · Waiver
130 SERRAL DR, GREENEVILLE, TN 37745(423) 638-7499 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 27, 2021, Jul 11, 2018 (2 updates tracked since 2018).

About Abundant Healthcare Clinic Llc NPPES

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

ABUNDANT HEALTHCARE CLINIC LLC (NPI 1982180113) is a healthcare organization registered as a health service in Greeneville, Tennessee and active in the NPI registry since July 2018. The organization holds a CLIA Waiver certificate valid through November 18, 2026, maintains a secondary practice location in Antioch, and lists Merlon Kent Craft, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1982180113
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameABUNDANT HEALTHCARE CLINIC LLC
Location Address130 SERRAL DRGreeneville, TN 37745-3074
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5515 · Fax (318) 949-5555
Organization SubpartNo
Authorized OfficialMerlon Kent CraftEvp/cfo · (318) 949-5515
Enumeration DateJuly 11, 2018
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1982180113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
130 SERRAL DR, Greeneville, TN 37745

Secondary Practice Location 1

Location 16050 Dana Way Ste 200Antioch, TN 37013-3224 · Phone (615) 641-2292

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 44D2158063

Abundant Healthcare Clinic · Greeneville, TN
Active · expires Nov 18, 2026
CLIA Number44D2158063
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorDr. Sadia Dar
Laboratory Phone(423) 278-2501
Laboratory LocationAbundant Healthcare Clinic130 Serral Drive Suite B, Greeneville, TN 37745
CLIA data matches this NPI record on: Address 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.

Nurse Practitioner (Family)
130 SERRAL DR
GREENEVILLE, TN 37745

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 Healthcare Clinic LLC's NPI number?

The NPI number for Abundant Healthcare Clinic LLC is 1982180113. It was assigned to this organization in the NPPES registry on July 11, 2018.

Where is Abundant Healthcare Clinic LLC located?

Abundant Healthcare Clinic LLC is located at 130 Serral Dr, Greeneville, TN 37745. The listed phone number is (423) 638-7499.

What is Abundant Healthcare Clinic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

Does Abundant Healthcare Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2158063) is associated with this NPI, valid through November 18, 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 Abundant Healthcare Clinic LLC was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.