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ELITE PSYCHIATRY OF TENNESSEE LLC
NPI 1023733557
Physician Assistant in Dickson, TN

Active since October 06, 2022CLIA 44D2318710 · Waiver
403 HENSLEE DR, DICKSON, TN 37055(615) 637-3131(931) 208-3616 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2025, Oct 6, 2022 (2 updates tracked since 2022).

About Elite Psychiatry Of Tennessee Llc NPPES

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

ELITE PSYCHIATRY OF TENNESSEE LLC (NPI 1023733557) is a healthcare organization registered as a physician assistant in Dickson, Tennessee and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through February 16, 2027, maintains 3 additional practice locations, and lists Kd Wainwright, Owner, as its authorized official.

NPPES Registry Identity

NPI1023733557
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameELITE PSYCHIATRY OF TENNESSEE LLC
Location Address403 HENSLEE DRDickson, TN 37055-2166
Mailing Address403 Henslee DrDickson, TN 37055-2166 · (615) 637-3131 · Fax (931) 208-3616
Phone(615) 637-3131
Fax(931) 208-3616
Organization SubpartNo
Authorized OfficialKd WainwrightOwner · (615) 637-3131
Enumeration DateOctober 6, 2022
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1023733557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
403 HENSLEE DR, Dickson, TN 37055
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Secondary Practice Locations 3

Location 1207 N Main St Ste 106Dickson, TN 37055-1838 · Phone (615) 637-3131 · Fax (931) 208-3616
Location 27982 Coley Davis RdNashville, TN 37221 · Phone (615) 637-3131 · Fax (931) 208-3616
Location 3165 Indian Lake Blvd Ste 103Hendersonville, TN 37075 · Phone (615) 637-3131 · Fax (931) 208-3616

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elite Psychiatry Of Tennessee Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Elite Psychiatry Of Tennessee LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Tyler Jones, APRN
Nurse Practitioner
NPI 1679323620
403 HENSLEE DR
Dickson, TN 37055
(615) 806-4384
✔ PECOSSame address
Brittany Mckay
Nurse Practitioner
NPI 1184330698
403 HENSLEE DR
Dickson, TN 37055
(615) 637-3131
✔ PECOS✔ Accepts MedicareSame address
Loretta Pentlicki, APRN, PMHNP
Nurse Practitioner
NPI 1871126482
150 E SWAN ST
Centerville, TN 37033
(931) 729-3091
✔ PECOS✔ Accepts Medicare21 mi
Sky Hicks, PMHNP-BC
Nurse Practitioner
NPI 1609626845
104 BRUMFIELD CT
Clarksville, TN 37043
(423) 612-3484
✔ PECOS✔ Accepts Medicare30 mi
Alexa Wroblewski, APRN
Nurse Practitioner
NPI 1750264008
1909 MALLORY LN STE 200
Franklin, TN 37067
(615) 771-1100
✔ PECOS✔ Accepts Medicare33 mi
Jocelyn Decker, FNP
Nurse Practitioner
NPI 1003245689
1900 BELMONT BLVD
Nashville, TN 37212
(615) 460-5506
✔ PECOS✔ Accepts Medicare33 mi

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 44D2318710

Elite Psychiatry Of Tennessee, LLC · Dickson, TN
Active · expires Feb 16, 2027
CLIA Number44D2318710
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 17, 2025
Certificate Expiration DateFebruary 16, 2027
Laboratory DirectorKd M. Wainwright
Laboratory Phone(615) 637-3131
Laboratory LocationElite Psychiatry Of Tennessee, LLC403 Henslee Drive, Dickson, TN 37055
CLIA data matches this NPI record on: Address 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 Elite Psychiatry Of Tennessee LLC's NPI number?

The NPI number for Elite Psychiatry Of Tennessee LLC is 1023733557. It was assigned to this organization in the NPPES registry on October 6, 2022.

Where is Elite Psychiatry Of Tennessee LLC located?

Elite Psychiatry Of Tennessee LLC is located at 403 Henslee Dr, Dickson, TN 37055. The listed phone number is (615) 637-3131.

What is Elite Psychiatry Of Tennessee LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Elite Psychiatry Of Tennessee LLC enrolled in Medicare?

Yes. Elite Psychiatry Of Tennessee LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elite Psychiatry Of Tennessee LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Elite Psychiatry Of Tennessee LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Elite Psychiatry Of Tennessee LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2318710) is associated with this NPI, valid through February 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Psychiatry Of Tennessee LLC was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.