Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GTW, LLC
NPI 1104571405
Clinic/Center - Primary Care in Huntingdon, TN

Active since February 15, 2022CLIA 44D2253222 · Waiver
126 W PARIS ST, HUNTINGDON, TN 38344(731) 535-3600(731) 535-3603 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 21, 2026, Apr 14, 2022, Mar 2, 2022 and 2 more (5 updates tracked since 2022).

About Gtw, Llc NPPES

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

GTW, LLC (NPI 1104571405), doing business as Tristar Family Care, is a healthcare organization registered as a primary care in Huntingdon, Tennessee and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through February 17, 2028 and lists Lisa Kay Page, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104571405
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGTW, LLC
Location Address126 W PARIS STHuntingdon, TN 38344-3608
Mailing AddressPo Box 506Huntingdon, TN 38344-0506 · (731) 431-2579 · Fax (731) 499-8175
Fax(731) 535-3603
Organization SubpartNo
Authorized OfficialLisa Kay PageCredentialing Manager · (731) 693-3465
Enumeration DateFebruary 15, 2022
Last NPPES UpdateSeptember 21, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1104571405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
126 W PARIS ST, Huntingdon, TN 38344

Other Names 1

Doing Business AsTristar Family Care

Other Identifiers 1

MedicaidQ071950TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gtw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

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

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1750390399
126 W PARIS ST
Huntingdon, TN 38344
(731) 535-3600
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1588083133
126 W PARIS ST
Huntingdon, TN 38344
(731) 535-3600
✔ 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.

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 44D2253222

Gtw LLC / Tristar Family Health · Huntingdon, TN
Active · expires Feb 17, 2028
CLIA Number44D2253222
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 18, 2026
Certificate Expiration DateFebruary 17, 2028
Laboratory DirectorLee M. Carter
Laboratory Phone(731) 431-2579
Laboratory LocationGtw LLC / Tristar Family Health126 West Paris Street, Huntingdon, TN 38344
CLIA data matches this NPI record on: Address 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 Gtw, LLC's NPI number?

The NPI number for Gtw, LLC is 1104571405. It was assigned to this organization in the NPPES registry on February 15, 2022. The provider is doing business as Tristar Family Care.

Where is Gtw, LLC located?

Gtw, LLC is located at 126 W Paris St, Huntingdon, TN 38344. The listed phone number is (731) 535-3600.

What is Gtw, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Gtw, LLC enrolled in Medicare?

Yes. Gtw, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gtw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Gtw, 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 Gtw, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2253222) is associated with this NPI, valid through February 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gtw, LLC was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.