Individual provider Active NPI

Travis Shivers, MD

  • Family Medicine Physician
  • Clarksville, TN
National Provider Identifier
1023404258
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55498 Issued in TN
Practice address
2145 Old Ashland City Rd
Clarksville, TN 37043-4906
Phone
(931) 346-1092
Fax
(800) 875-1001
NPI assigned
Apr 14, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171116001737 TN Practitioner - Family Practice 3173844271 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
RHC Group PLLC Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Abundant Health Clinic PLLC Current Accepting new patients
RHC Group PLLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

342 Frey St
Ashland City, TN 37015
Phone (615) 792-1199

2145 Old Ashland City Rd
Clarksville, TN 37043
Phone (931) 346-1092

2557 Highway 41 S
Greenbrier, TN 37073
Phone (615) 643-4534

Interoperability endpoints

  • Direct secure messaging: travis.shivers.1@18155.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18155/brand/1/csg/1/fhir/r4

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55498 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

2145 Old Ashland City Rd
Clarksville, TN 37043-4906

Mailing address

2145 Old Ashland City Rd
Clarksville, TN 37043-4906
Phone (931) 346-1092

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
Q035950MedicaidTN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 21, 2026.

{
    "created_epoch": "1428969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1023404258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 OLD ASHLAND CITY RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434906",
            "telephone_number": "931-346-1092",
            "fax_number": "800-875-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 OLD ASHLAND CITY RD",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434906",
            "telephone_number": "931-346-1092",
            "fax_number": "800-875-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVERS",
        "first_name": "TRAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-14",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "55498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q035950",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.