ABUNDANT HEALTHCARE CLINIC LLC
NPI 1982180113
Clinic/Center - Health Service in Greeneville, TN
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, 2028, maintains a secondary practice location in Antioch, and lists Merlon Kent Craft, Evp/cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Healthcare Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Abundant Healthcare Clinic LLC, 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 (4)
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 44D2158063
Abundant Healthcare Clinic · Greeneville, TNFrequently 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.
Is Abundant Healthcare Clinic LLC enrolled in Medicare?
Yes. Abundant Healthcare Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Abundant Healthcare Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Abundant Healthcare Clinic 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 Healthcare Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 44D2158063) is associated with this NPI, valid through November 18, 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 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.
# Abundant Healthcare Clinic Llc · NPI 1982180113
Health Service organization in Greeneville, Tennessee. Organization record, active in the CMS NPPES registry since July 11, 2018.
## Identity
- **NPI:** 1982180113 (Entity type: Organization)
- **Enumerated:** July 11, 2018
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Merlon Craft, EVP/CFO
## Practice location
- **Address:** 130 SERRAL DR, Greeneville, TN 37745-3074
- **Phone:** (423) 638-7499
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (2); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 27, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1982180113) · Data from the CMS NPPES public registry.