Organization Active NPI

Abundant Health Clinic PLLC

  • Clinic/Center
  • Clarksville, TN
National Provider Identifier
1871483743
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ABUNDANT HEALTH CLINIC PLLC
Practice address
2145 Old Ashland City Rd
Clarksville, TN 37043-4906
Phone
(931) 346-1092
NPI assigned
Jul 3, 2025
Last updated
Jul 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matt Smith
Title
Registered Agent
Phone
(731) 618-7179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

2145 Old Ashland City Rd
Clarksville, TN 37043-4906

Mailing address

1497 Hollis RDG
Clarksville, TN 37043-1522

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751500800000",
    "number": "1871483743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 HOLLIS RDG",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370431522"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "731-618-7179"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.