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TENNESSEE HEALTH AND WELLNESS
NPI 1063014363
Clinic/Center in Cookeville, TN

Active since November 11, 2020
315 N WASHINGTON AVE STE 102, COOKEVILLE, TN 38501(931) 651-1918(931) 651-1912 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 6, 2022, Nov 11, 2020 (2 updates tracked since 2020).

About Tennessee Health And Wellness NPPES

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

TENNESSEE HEALTH AND WELLNESS (NPI 1063014363) is a healthcare organization registered as a clinic/center in Cookeville, Tennessee and active in the NPI registry since November 2020. The organization lists Scotty L Kirby, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1063014363
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTENNESSEE HEALTH AND WELLNESS
Location Address315 N WASHINGTON AVE STE 102Cookeville, TN 38501-2623
Mailing Address315 N Washington Ave Ste 102Cookeville, TN 38501-2623 · (931) 651-1918 · Fax (931) 651-1916
Phone(931) 651-1918
Fax(931) 651-1912
Organization SubpartNo
Authorized OfficialScotty L KirbyOwner/member · (931) 836-2532
Enumeration DateNovember 11, 2020
Last NPPES UpdateApril 6, 20222 updates tracked since enumeration
NPPES CertifiedApril 6, 2022
✔ NPI 1063014363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
315 N WASHINGTON AVE STE 102, Cookeville, TN 38501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tennessee Health And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tennessee Health And Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tiffany Ward, FNP
Nurse Practitioner
NPI 1376178343
315 N WASHINGTON AVE STE 102
Cookeville, TN 38501
(931) 651-1918
✔ PECOS✔ Accepts MedicareSame address

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

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Tennessee Health And Wellness, PLLC carries, from the Medicare DMEPOS supplier directory.

Tennessee Health And Wellness, PLLC

DMEPOS supplier · Cookeville, TNOperated by Tennessee Health And Wellness
✔

Accepts Medicare assignment

Tennessee Health And Wellness, PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20410361
Medicare Participant SinceNovember 9, 2020
Supplier Location315 N Washington Ave Ste 102Cookeville, TN 38501
Phone(931) 651-1918
Supplier Specialties
Medical Supply Company Other MSC With Orthotic Personnel

Medicare Product Categories

Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Tennessee Health And Wellness's NPI number?

The NPI number for Tennessee Health And Wellness is 1063014363. It was assigned to this organization in the NPPES registry on November 11, 2020.

Where is Tennessee Health And Wellness located?

Tennessee Health And Wellness is located at 315 N Washington Ave Ste 102, Cookeville, TN 38501. The listed phone number is (931) 651-1918.

What is Tennessee Health And Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tennessee Health And Wellness enrolled in Medicare?

Yes. Tennessee Health And Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tennessee Health And Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tennessee Health And Wellness. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tennessee Health And Wellness accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Tennessee Health And Wellness, PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Tennessee Health And Wellness was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.