WHITEVILLE MEDICAL CENTER LLC
NPI 1194551168
Family Medicine in Whiteville, TN

Q: What is Whiteville Medical Center LLC's NPI number?

The NPI number for Whiteville Medical Center LLC is 1194551168. It was assigned to this organization in the NPPES registry on September 9, 2024.

Q: What is Whiteville Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since September 09, 2024CLIA 44D1097826 · Waiver

2400 US HIGHWAY 64, WHITEVILLE, TN 38075(731) 254-8999(731) 254-8997 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Whiteville Medical Center Llc NPPES

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

WHITEVILLE MEDICAL CENTER LLC (NPI 1194551168) is a healthcare organization registered as a family medicine in Whiteville, Tennessee and active in the NPI registry since September 2024. The organization holds a CLIA Waiver certificate valid through April 2, 2027 and lists Mary Lockhart, Manager, as its authorized official.

NPPES Registry Identity

NPI1194551168

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWHITEVILLE MEDICAL CENTER LLC

Location Address2400 US HIGHWAY 64Whiteville, TN 38075-7461

Mailing Address2400 Us Highway 64Whiteville, TN 38075-7461 · (731) 254-8999 · Fax (731) 254-8997

Phone(731) 254-8999

Fax(731) 254-8997

Organization SubpartNo

Authorized OfficialMary LockhartManager · (901) 483-5370

Enumeration DateSeptember 9, 2024

NPPES CertifiedSeptember 9, 2024

✔ NPI 1194551168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2400 US HIGHWAY 64, Whiteville, TN 38075

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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 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)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Whiteville Medical Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rylie Gordon, FNP

Nurse Practitioner

NPI 1841004298

2400 US HIGHWAY 64
Whiteville, TN 38075

(731) 254-8999

✔ PECOSSame address

Anna Mcintyre, APN

Nurse Practitioner

NPI 1194118588

2115 UNION AVE
Memphis, TN 38104

(901) 274-4085

✔ PECOS49 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 44D1097826

Whiteville Medical Center LLC Dba Whiteville Medical Center LLC · Whiteville, TN

Active · expires Apr 2, 2027

CLIA Number44D1097826

Laboratory TypePractitioner Other

Certificate Effective DateApril 3, 2025

Certificate Expiration DateApril 2, 2027

Laboratory DirectorAnna Mcintyre

Laboratory Phone(731) 254-8999

Laboratory LocationWhiteville Medical Center LLC Dba Whiteville Medical Center LLC2400 Highway 64, Whiteville, TN 38075

CLIA data matches this NPI record on: 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 Whiteville Medical Center LLC's NPI number?

The NPI number for Whiteville Medical Center LLC is 1194551168. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Whiteville Medical Center LLC located?

Whiteville Medical Center LLC is located at 2400 Us Highway 64, Whiteville, TN 38075. The listed phone number is (731) 254-8999.

What is Whiteville Medical Center LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Whiteville Medical Center LLC enrolled in Medicare?

Yes. Whiteville Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Whiteville Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Whiteville Medical Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Whiteville Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1097826) is associated with this NPI, valid through April 2, 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 Whiteville Medical Center LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.