WT UNIVERSITY MEDICAL ASSOCIATES INC
NPI 1023572344
Family Medicine in Jackson, TN

Active since January 31, 2019CLIA 44D0315440 · Waiver
294 SUMMAR DR, JACKSON, TN 38301(731) 423-1932(731) 660-8739 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 21, 2019, Jan 31, 2019 (2 updates tracked since 2019).

About Wt University Medical Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WT UNIVERSITY MEDICAL ASSOCIATES INC (NPI 1023572344), doing business as West Tennessee Medical Group Ut Medicine, is a healthcare organization registered as a family medicine in Jackson, Tennessee and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through January 31, 2028, maintains a secondary practice location in Jackson, and lists Bartley Teague, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1023572344
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWT UNIVERSITY MEDICAL ASSOCIATES INC
Location Address294 SUMMAR DRJackson, TN 38301-3915
Mailing Address257 Bancorp South PkwyJackson, TN 38305-7582
Fax(731) 660-8739
Organization SubpartNo
Authorized OfficialBartley TeagueExecutive Director · (731) 512-1277
Enumeration DateJanuary 31, 2019
Last NPPES UpdateOctober 30, 20252 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
✔ NPI 1023572344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
294 SUMMAR DR, Jackson, TN 38301

Other Names 1

Doing Business AsWest Tennessee Medical Group Ut Medicine

Secondary Practice Location 1

Location 131 Physicians DrJackson, TN 38305-2071 · Phone (731) 423-1932 · Fax (731) 660-8739

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wt University Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

50

Medicare enrollment records show 50 clinicians reassign Medicare billing to Wt University Medical Associates Inc, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 7

Family Practice24
Obstetrics/Gynecology12
Certified Nurse Midwife (CNM)6
Emergency Medicine5
Hospitalist1
Nurse Practitioner1
Pediatric Medicine1

Nearest to this location (20)

See all 50
Family Practice
NPI 1467035741
294 SUMMAR DR
Jackson, TN 38301
(731) 541-3755
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1871596973
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1760472906
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1578212312
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1275107708
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1265774236
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1639752983
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1346878568
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1649774209
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1093705576
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1235670647
294 SUMMAR DR
Jackson, TN 38301
(731) 423-1932
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528698594
620 SKYLINE DR
Jackson, TN 38301
(731) 541-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1780626762
657 SKYLINE DR
Jackson, TN 38301
(731) 660-8759
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1528477007
657 SKYLINE DR DEPT OF
Jackson, TN 38301
(615) 327-6284
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1225091614
657 SKYLINE DR
Jackson, TN 38301
(731) 541-8425
✔ PECOS0.1 mi
Family Practice
NPI 1407592793
620 SKYLINE DR
Jackson, TN 38301
(731) 541-6280
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1396476750
620 SKYLINE DR
Jackson, TN 38301
(484) 628-8000
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1417680067
620 SKYLINE DR
Jackson, TN 38301
(731) 541-0000
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1669121083
620 SKYLINE DR
Jackson, TN 38301
(928) 533-3068
✔ PECOS✔ Accepts Medicare0.1 mi
Hospitalist
NPI 1386030914
620 SKYLINE DR
Jackson, TN 38301
(731) 541-4923
✔ PECOS✔ Accepts Medicare0.2 mi
See all 50 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0315440

Wt University Medical Associates Dba West Tn Healthcare-Ut Medicine · Jackson, TN
Active · expires Jan 31, 2028
CLIA Number44D0315440
Laboratory TypePhysician Office
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorJennifer B. Moody
Laboratory Phone(731) 423-1932
Laboratory LocationWt University Medical Associates Dba West Tn Healthcare-Ut Medicine700 West Forest Ave 5th Floor, Jackson, TN 38301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wt University Medical Associates Inc's NPI number?

The NPI number for Wt University Medical Associates Inc is 1023572344. It was assigned to this organization in the NPPES registry on January 31, 2019. The provider is doing business as West Tennessee Medical Group UT Medicine.

Where is Wt University Medical Associates Inc located?

Wt University Medical Associates Inc is located at 294 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 423-1932.

What is Wt University Medical Associates Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wt University Medical Associates Inc enrolled in Medicare?

Yes. Wt University Medical Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wt University Medical Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 50 clinicians in 7 Medicare specialties reassign their Medicare billing to Wt University Medical Associates Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (24), Obstetrics/Gynecology (12) and Certified Nurse Midwife (CNM) (6). Of these, 11 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wt University Medical Associates Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0315440) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wt University Medical Associates Inc accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wt University Medical Associates Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wt University Medical Associates Inc was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.