Active NPI
Travis Shivers, MD
- Family Medicine Physician
- Clarksville, TN
National Provider Identifier
1023404258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55498
- 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.
-
- Clinic/Center
- Clarksville, TN
- NPI 1871483743
-
- Rural Health Clinic/Center
- Pleasant View, TN
- NPI 1679279780
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RHC Group PLLC | Family Medicine | Current | Accepting new patients |
| Abundant Health Clinic PLLC | Current | Accepting new patients | |
| RHC Group PLLC | Current | 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
- travis.shivers.1@18155.direct.athenahealth.com
- https://api.platform.athenahealth.com/18155/brand/1/csg/1/fhir/r4
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 55498 | TN | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q035950 | Medicaid | TN |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.