Abundant Life Treatment Center
NPI 1467741058 · Preferred Provider Organization · Tarboro, NC
Abundant Life Treatment Center is a Preferred Provider Organization organization in Tarboro, NC (NPI 1467741058).
Provider details
- NPI number
- 1467741058
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Gerenda Williams, Ceo(252) 883-1670
- License
- 033097 (NC)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-04
- Last updated
- 2011-04-04
Frequently asked questions
- What is Abundant Life Treatment Center's NPI number?
- Abundant Life Treatment Center's National Provider Identifier (NPI) is 1467741058, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abundant Life Treatment Center?
- Abundant Life Treatment Center is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Abundant Life Treatment Center located?
- Abundant Life Treatment Center's practice location on file with NPPES is 108 W Hope Lodge St, Tarboro, NC 27886-2439.
- What is Abundant Life Treatment Center's phone number?
- The practice phone number listed in the NPPES registry for Abundant Life Treatment Center is (252) 774-4100.
- Who is the authorized official for Abundant Life Treatment Center?
- The authorized official listed on Abundant Life Treatment Center's NPPES record is Gerenda Williams, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abundant Life Treatment Center's NPI active?
- Yes — Abundant Life Treatment Center's NPI (1467741058) is active in the NPPES registry as of the last update on 2011-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.