TENN-TOM MED LLC
NPI 1174294797
Clinic/Center - Primary Care in Burnsville, MS
About Tenn-tom Med Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TENN-TOM MED LLC (NPI 1174294797) is a healthcare organization registered as a primary care in Burnsville, Mississippi and active in the NPI registry since September 2021. The organization lists Camille Whitehead, Managing Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tenn-tom Med Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Tenn-Tom Med LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Tenn-Tom Med LLC's NPI number?
The NPI number for Tenn-Tom Med LLC is 1174294797. It was assigned to this organization in the NPPES registry on September 23, 2021.
Where is Tenn-Tom Med LLC located?
Tenn-Tom Med LLC is located at 369 Highway 72, Burnsville, MS 38833. The listed phone number is (662) 427-4040.
What is Tenn-Tom Med LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Tenn-Tom Med LLC enrolled in Medicare?
Yes. Tenn-Tom Med LLC is registered in the Medicare PECOS enrollment system.
When is Tenn-Tom Med LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tenn-Tom Med LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Tenn-Tom Med 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tenn-Tom Med LLC accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 1 other insurer list Tenn-Tom Med 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 Tenn-Tom Med LLC was last updated on April 21, 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.
# Tenn-Tom Med Llc · NPI 1174294797
Primary Care organization in Burnsville, Mississippi. Organization record, active in the CMS NPPES registry since September 23, 2021.
## Identity
- **NPI:** 1174294797 (Entity type: Organization)
- **Enumerated:** September 23, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Camille Whitehead, MANAGING NURSE PRACTITIONER
## Practice location
- **Address:** 369 HIGHWAY 72, Burnsville, MS 38833-9320
- **Phone:** (662) 427-4040 · **Fax:** (662) 427-4041
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Mississippi, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174294797) · Data from the CMS NPPES public registry.