Active NPI
Rural Rootz Health Clinic LLC
- Rural Health Clinic/Center
- Abernathy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- RURAL ROOTZ HEALTH CLINIC LLC
- Practice address
- 207 Main St
Abernathy, TX 79311-3441 - Phone
- (806) 646-6074
- Fax
- (806) 642-5013
- NPI assigned
- Dec 13, 2024
- Last updated
- Jul 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason Bradley Lentz, MD
- Title
- Ceo/Owner
- Phone
- (806) 790-4939
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
207 Main St
Abernathy, TX 79311-3441
Mailing address
207 Main St
Abernathy, TX 79311-3441
Phone (806) 646-6074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250505001389 | TX | Part A Provider - Rural Health Clinic | 6608393582 | Practice locations: Abernathy, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1376350207. Details of each certification follow.
Rural health clinic certification: CCN 678947
- Legal name
- RURAL ROOTZ HEALTH CLINIC LLC
- Doing business as
- RURAL ROOTZ HEALTH CLINIC OF ABERNATHY
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 10, 2025
- Last certification
- Sep 10, 2025
- Ownership / control type
- 1C
- Organization structure
- LLC
- Enrollment address
- 207 Main St
Abernathy, TX 79311-3441
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2320926 | Rural Rootz Health Clinic LLC | Certificate of waiver | Mar 25, 2027 |
National Provider Directory
National Provider DirectoryLocations
207 Main St
Abernathy, TX 79311
Phone (806) 298-5051
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jason B Lentz | Contracted Managing Employee | Apr 21, 2025 | 50% |
| 5% Or Greater Direct Ownership Interest | Oct 17, 2024 | 50% | |
| Rural Rootz Health Clinic LLC | 5% Or Greater Direct Ownership Interest | Oct 17, 2024 | 100% |
| Jessie Ann Lentz | 5% Or Greater Direct Ownership Interest | Oct 17, 2024 | 50% |
| Amy Montgomery | W-2 Managing Employee | Apr 21, 2025 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1467532416
5% Or Greater Direct Ownership Interest, Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1467532416
-
- Family Nurse Practitioner
- Abernathy, TX
- NPI 1699471821
-
- Physical Therapist
- Abernathy, TX
- NPI 1962451690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734048000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783555200000",
"number": "1376350207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 MAIN ST",
"city": "ABERNATHY",
"state": "TX",
"postal_code": "793113441",
"telephone_number": "806-646-6074",
"fax_number": "806-642-5013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 MAIN ST",
"city": "ABERNATHY",
"state": "TX",
"postal_code": "793113441",
"telephone_number": "806-646-6074",
"fax_number": "806-642-5013"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RURAL ROOTZ HEALTH CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-13",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A",
"authorized_official_last_name": "LENTZ",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "BRADLEY",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "806-790-4939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abernathy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.