TRISTAR FAMILY CARE
NPI 1104571405
Clinic/Center 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: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2022, Mar 2, 2022, Feb 22, 2022 and 1 more (4 updates tracked since 2022).

About Tristar Family Care NPPES

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

TRISTAR FAMILY CARE (NPI 1104571405) is a healthcare organization registered as a clinic/center 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 Taxonomy261Q00000X
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 UpdateApril 14, 20224 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
NPI 1104571405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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).

Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
126 W PARIS ST, Huntingdon, TN 38344

Other Names 1

Doing Business AsTristar Family Care

Other Identifiers 1

MedicaidQ071950TN

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

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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
126 W PARIS ST
HUNTINGDON, TN 38344
Nurse Practitioner (Family)
126 W PARIS ST
HUNTINGDON, TN 38344

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 with taxonomy code 261Q00000X.

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.

What insurance does Gtw, LLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Gtw, LLC 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 Gtw, LLC was last updated on April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.