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TOTAL WOUND CARE OF ARKANSAS,LLC
NPI 1205655008
Internal Medicine in Fayetteville, AR

Active since October 08, 2024CLIA 37D2275902 · Waiver
4250 N VENETIAN LN, FAYETTEVILLE, AR 72703(405) 246-0811(405) 546-5801 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2025, Oct 8, 2024 (2 updates tracked since 2024).

About Total Wound Care Of Arkansas,llc NPPES

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

TOTAL WOUND CARE OF ARKANSAS,LLC (NPI 1205655008) is a healthcare organization registered as an internal medicine in Fayetteville, Arkansas and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Tad Burgess, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1205655008
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTOTAL WOUND CARE OF ARKANSAS,LLC
Location Address4250 N VENETIAN LNFayetteville, AR 72703-5077
Mailing Address1900 Nw Expressway Ste 800Oklahoma City, OK 73118-1804 · (405) 246-0811 · Fax (405) 546-5801
Phone(405) 246-0811
Fax(405) 546-5801
Organization SubpartNo
Authorized OfficialTad BurgessCeo/owner · (405) 659-6993
Enumeration DateOctober 8, 2024
Last NPPES UpdateMay 21, 20252 updates tracked since enumeration
NPPES CertifiedMay 21, 2025
✔ NPI 1205655008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4250 N VENETIAN LN, Fayetteville, AR 72703
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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)

Total Wound Care Of Arkansas,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Total Wound Care Of Arkansas,llc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner8
Emergency Medicine1
Registered Dietitian or Nutrition Professional1

Clinicians, nearest first (10)

Sarah Spence, DNP, APRN, FNP-CNP
Nurse Practitioner
NPI 1033972666
451 PHILLIPS ST
West Fork, AR 72774
(479) 294-6085
✔ PECOS✔ Accepts Medicare14 mi
Cassandra Crowell
Nurse Practitioner
NPI 1508599622
2202 SHADY LN
Texarkana, TX 75503
(903) 908-1705
✔ PECOS✔ Accepts Medicare185 mi
Tara Phillips, FNP-C
Nurse Practitioner
NPI 1801378641
4701 W 7TH ST
Wake Village, TX 75501
(903) 831-4065
✔ PECOS✔ Accepts Medicare187 mi
Ashley Thompson, C-NP, MSN-FNP, APRN
Nurse Practitioner
NPI 1801421466
1520 S BRYANT AVE
Edmond, OK 73013
(866) 389-2727
✔ PECOS✔ Accepts Medicare189 mi
Jayme Troup, NP FNP-C
Nurse Practitioner
NPI 1720795164
16384 S RYCKERT ST
Olathe, KS 66062
(913) 485-4508
✔ PECOS✔ Accepts Medicare190 mi
Cynthia Stanbrough
Registered Dietitian or Nutrition Professional
NPI 1184260846
4200 W MEMORIAL RD STE 508
Oklahoma City, OK 73120
(405) 755-7561
✔ Accepts Medicare197 mi
Kendall Little, MD
Emergency Medicine
NPI 1891772307
13309 UPPER POND CT
Oklahoma City, OK 73142
(405) 708-2592
✔ PECOS✔ Accepts Medicare198 mi
Staci Williams, CFNP
Nurse Practitioner
NPI 1750999413
5606 SW LEE BLVD STE 203
Lawton, OK 73505
(580) 536-6600
✔ PECOS✔ Accepts Medicare266 mi
April Dickey, APRN
Nurse Practitioner
NPI 1326671686
2626 WESLEYAN DR
Belleville, KS 66935
(785) 527-5636
✔ PECOS✔ Accepts Medicare318 mi
Dana Lau, APRN
Nurse Practitioner
NPI 1922643477
1900 NW EXPRESSWAY STE 800
Oklahoma City, OK 73118
(405) 613-6515
✔ PECOS✔ Accepts Medicare

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 37D2275902

Total Wound Care Of Oklahoma · Oklahoma City, OK
Active · expires Jan 30, 2027
CLIA Number37D2275902
Laboratory TypeMobile Laboratory
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorLaura A. Cudd
Laboratory Phone(405) 246-0811
Laboratory LocationTotal Wound Care Of Oklahoma13509 N Meridian Ave, Ste 5, Oklahoma City, OK 73120
CLIA data matches this NPI record on: 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 Total Wound Care Of Arkansas,llc's NPI number?

The NPI number for Total Wound Care Of Arkansas,llc is 1205655008. It was assigned to this organization in the NPPES registry on October 8, 2024.

Where is Total Wound Care Of Arkansas,llc located?

Total Wound Care Of Arkansas,llc is located at 4250 N Venetian Ln, Fayetteville, AR 72703. The listed phone number is (405) 246-0811.

What is Total Wound Care Of Arkansas,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Total Wound Care Of Arkansas,llc enrolled in Medicare?

Yes. Total Wound Care Of Arkansas,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Total Wound Care Of Arkansas,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Total Wound Care Of Arkansas,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. The largest specialties are Nurse Practitioner (8), Emergency Medicine (1) and Registered Dietitian or Nutrition Professional (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Total Wound Care Of Arkansas,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2275902) is associated with this NPI, valid through January 30, 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 Total Wound Care Of Arkansas,llc was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.