| Wt Medical Associates | |
|
1629 Woodlawn Ave Dyersburg TN 38024 | |
| (731) 512-1277 | |
| (731) 285-1440 |
| Full Name | Wt Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 1629 Woodlawn Ave, Dyersburg, Tennessee |
| Authorized Official Name and Position | Bartley Teague (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7315121277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wt Medical Associates 257 Bancorp South Pkwy Jackson TN 38305-7582 Ph: (731) 660-8759 | Wt Medical Associates 1629 Woodlawn Ave Dyersburg TN 38024 Ph: (731) 512-1277 |
| NPI Number | 1295223279 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 03/06/2024 |
| Medicare PECOS PAC ID | 1951650613 |
|---|---|
| Medicare Enrollment ID | O20180814002772 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295223279 | NPI | - | NPPES |
| Q037006 | Medicaid | TN |
| Provider Name | Conrado B Sioson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235356361 PECOS PAC ID: 8729984398 Enrollment ID: I20031212000421 |
| Provider Name | Stevens D Melton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629062203 PECOS PAC ID: 0244127900 Enrollment ID: I20040228000201 |
| Provider Name | William R Turner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144215187 PECOS PAC ID: 1850366683 Enrollment ID: I20040826000632 |
| Provider Name | Eugene M Finan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023086451 PECOS PAC ID: 1254320393 Enrollment ID: I20041005001084 |
| Provider Name | Ravinder Kaur Machra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457352577 PECOS PAC ID: 8921060179 Enrollment ID: I20041029000693 |
| Provider Name | Rauf M Baba |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1689677296 PECOS PAC ID: 9537117338 Enrollment ID: I20050108000052 |
| Provider Name | William N Mckee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104810704 PECOS PAC ID: 4183687130 Enrollment ID: I20050202000193 |
| Provider Name | David P Guthrie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750375291 PECOS PAC ID: 0840241345 Enrollment ID: I20050202000236 |
| Provider Name | Timothy W Hayden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972699494 PECOS PAC ID: 1951337559 Enrollment ID: I20050714000879 |
| Provider Name | Elizabeth S Londino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922194778 PECOS PAC ID: 6204862808 Enrollment ID: I20050714000889 |
| Provider Name | Buffy J Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063406114 PECOS PAC ID: 9436156932 Enrollment ID: I20061025000655 |
| Provider Name | Lynda J Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861487282 PECOS PAC ID: 2365521507 Enrollment ID: I20080508000354 |
| Provider Name | Elizabeth Graves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437343662 PECOS PAC ID: 1355410028 Enrollment ID: I20080521000183 |
| Provider Name | Babu Rao |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477525103 PECOS PAC ID: 8123198678 Enrollment ID: I20080610000357 |
| Provider Name | Allen C Gooch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790736445 PECOS PAC ID: 6608942131 Enrollment ID: I20090115000410 |
| Provider Name | John Wilters |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093722423 PECOS PAC ID: 3274562632 Enrollment ID: I20090403000566 |
| Provider Name | Kevin G Gray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952528077 PECOS PAC ID: 5294886727 Enrollment ID: I20090624000058 |
| Provider Name | Judith Jordan Williams |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912906942 PECOS PAC ID: 5395860563 Enrollment ID: I20100910000674 |
| Provider Name | Rebecca Johnson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1396052932 PECOS PAC ID: 9931398005 Enrollment ID: I20110105001253 |
| Provider Name | Jennifer W Mcwilliams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720289143 PECOS PAC ID: 9335326396 Enrollment ID: I20110601000029 |
| Provider Name | Edward B Mcwhirt |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881615292 PECOS PAC ID: 3577517465 Enrollment ID: I20110809000053 |
| Provider Name | Brent Zamzow |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1962548149 PECOS PAC ID: 0749451581 Enrollment ID: I20110927000496 |
| Provider Name | Fred J Sesti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174618516 PECOS PAC ID: 5991970451 Enrollment ID: I20111212000316 |
| Provider Name | Tarebiye Pela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1922241801 PECOS PAC ID: 7012165830 Enrollment ID: I20120919000429 |
| Provider Name | Jessica M Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659643872 PECOS PAC ID: 3375797954 Enrollment ID: I20130206000647 |
| Provider Name | Lisa J Alexander Nwokolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164767133 PECOS PAC ID: 6800031501 Enrollment ID: I20130401000096 |
| Provider Name | Teresa Ann Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932449386 PECOS PAC ID: 0941448120 Enrollment ID: I20130529000788 |
| Provider Name | Melissa G Youree |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548289622 PECOS PAC ID: 5991938789 Enrollment ID: I20140501001052 |
| Provider Name | Sophia Fouche |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1871995977 PECOS PAC ID: 7911226683 Enrollment ID: I20150430000944 |
| Provider Name | Robert Chin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790751923 PECOS PAC ID: 6608889076 Enrollment ID: I20160302001243 |
| Provider Name | Grant Kneeland Studebaker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265774236 PECOS PAC ID: 0244479392 Enrollment ID: I20160831001947 |
| Provider Name | Brandy L Steelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942755467 PECOS PAC ID: 3971881533 Enrollment ID: I20161102000692 |
| Provider Name | Lisa M Wiedel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1831166966 PECOS PAC ID: 9931233103 Enrollment ID: I20170215001279 |
| Provider Name | Ryan L Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821538992 PECOS PAC ID: 6709163348 Enrollment ID: I20170508001752 |
| Provider Name | John A Osborne |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1215021498 PECOS PAC ID: 2466351937 Enrollment ID: I20171108002925 |
| Provider Name | Betsy Akin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720525991 PECOS PAC ID: 7810255064 Enrollment ID: I20171218002491 |
| Provider Name | Lindsay Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912490707 PECOS PAC ID: 3173871928 Enrollment ID: I20180809006209 |
| Provider Name | Joon Young Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366839458 PECOS PAC ID: 2961752761 Enrollment ID: I20180828003811 |
| Provider Name | Johnny Lee Mayes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912298985 PECOS PAC ID: 0648490797 Enrollment ID: I20181111000004 |
| Provider Name | Joshua D Stevens |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780979930 PECOS PAC ID: 7911144985 Enrollment ID: I20181112000115 |
| Provider Name | Tameka Lasha Emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477026730 PECOS PAC ID: 3870834252 Enrollment ID: I20190411002984 |
| Provider Name | Finley W Leslie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922568724 PECOS PAC ID: 0941533749 Enrollment ID: I20190611000681 |
| Provider Name | Whitney Lain Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083184055 PECOS PAC ID: 0840527073 Enrollment ID: I20190812001758 |
| Provider Name | Somer L Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245890052 PECOS PAC ID: 9436489259 Enrollment ID: I20190920002986 |
| Provider Name | Jean A Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699137240 PECOS PAC ID: 8426341579 Enrollment ID: I20190925003502 |
| Provider Name | Angela C Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902451446 PECOS PAC ID: 1759613490 Enrollment ID: I20191029002451 |
| Provider Name | Charles R Burk |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689780777 PECOS PAC ID: 9830145861 Enrollment ID: I20191102000274 |
| Provider Name | Jessica Hart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336780881 PECOS PAC ID: 0749616068 Enrollment ID: I20200205001746 |
| Provider Name | Natasha Waldon-turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427604164 PECOS PAC ID: 5698101657 Enrollment ID: I20200211001173 |
| Provider Name | Leven Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003457409 PECOS PAC ID: 8426485095 Enrollment ID: I20200219002668 |
| Provider Name | Jordan Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972199644 PECOS PAC ID: 4880002153 Enrollment ID: I20210427000410 |
| Provider Name | Dee Ann Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679105787 PECOS PAC ID: 5991104564 Enrollment ID: I20210602000673 |
| Provider Name | Autumn D Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194301242 PECOS PAC ID: 5193127157 Enrollment ID: I20210713002630 |
| Provider Name | Barry C Sidwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396332375 PECOS PAC ID: 2961807722 Enrollment ID: I20210818000207 |
| Provider Name | Michael Abdelmisseh |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225529241 PECOS PAC ID: 0840696167 Enrollment ID: I20210910001732 |
| Provider Name | Sarah J Camper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912494105 PECOS PAC ID: 1850640624 Enrollment ID: I20210924000835 |
| Provider Name | Bobbie J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659945418 PECOS PAC ID: 4880091404 Enrollment ID: I20210924001073 |
| Provider Name | Allison L Rasnic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376295097 PECOS PAC ID: 9133514920 Enrollment ID: I20220314001183 |
| Provider Name | Hillary Brewer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760134936 PECOS PAC ID: 0547656423 Enrollment ID: I20220331002397 |
| Provider Name | Victoria S Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396373510 PECOS PAC ID: 6901220268 Enrollment ID: I20220406001064 |
| Provider Name | Colton N Simbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902552185 PECOS PAC ID: 4688061815 Enrollment ID: I20220418002303 |
| Provider Name | Laurel A Campbell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063618932 PECOS PAC ID: 7618169343 Enrollment ID: I20220930002426 |
| Provider Name | Marian S Gilliland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841341153 PECOS PAC ID: 1254366313 Enrollment ID: I20221115000867 |
| Provider Name | Rachel D Belew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417672593 PECOS PAC ID: 0941671408 Enrollment ID: I20230119001451 |
| Provider Name | Hailee A Tillery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730898446 PECOS PAC ID: 8325411135 Enrollment ID: I20230227000457 |
| Provider Name | Lindsay B Wigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265168827 PECOS PAC ID: 4789049495 Enrollment ID: I20230503000262 |
| Provider Name | Rachel Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376245902 PECOS PAC ID: 2961867510 Enrollment ID: I20230503002648 |
| Provider Name | Micah Whitnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336845734 PECOS PAC ID: 0648636332 Enrollment ID: I20230523001448 |
| Provider Name | Kristina A Hutcherson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699474528 PECOS PAC ID: 1850751926 Enrollment ID: I20230720002699 |
| Provider Name | Kyle P Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679358659 PECOS PAC ID: 1456707488 Enrollment ID: I20231027002021 |
| Provider Name | Heather D Haddock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003688474 PECOS PAC ID: 0648620575 Enrollment ID: I20231219001001 |
Hometown Urgent Care Of Dyersburg Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2550 Parr Ave, Dyersburg, TN 38024 Phone: 731-325-5678 | |
Mid-south Convenient Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1445 Us Highway 51 Byp E Ste B, Dyersburg, TN 38024 Phone: 731-286-1900 Fax: 731-286-1900 | |
Grace Family Practice Clinic, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1716 Parr Ave Ste D, Dyersburg, TN 38024 Phone: 731-288-0911 Fax: 731-288-0065 | |
Dyersburg Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-288-7250 Fax: 731-288-7258 | |
Bcp 1, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2490 Parr Ave Ste 9, Dyersburg, TN 38024 Phone: 731-285-0844 | |
Dyersburg Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 E Tickle St, Dyersburg, TN 38024 Phone: 731-287-2400 Fax: 731-285-9545 | |
Digestive Associates, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1067 Vendall Rd, Dyersburg, TN 38024 Phone: 731-285-5133 Fax: 731-285-9921 |