WTPC, LLC
NPI 1386235083
Clinic/Center - Rural Health in Henderson, TN

Active since January 27, 2021CLIA 44D2218804 · Microscopy
541 W PARK PL, HENDERSON, TN 38340(731) 989-1007(731) 989-0704 Get Directions Write a Review

NPPES record last updated: January 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2024, Jan 29, 2022, Dec 14, 2021 and 2 more (5 updates tracked since 2021).

About Wtpc, Llc NPPES

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

WTPC, LLC (NPI 1386235083) is a healthcare organization registered as a rural health in Henderson, Tennessee and active in the NPI registry since January 2021. The organization holds a CLIA Microscopy certificate valid through March 30, 2027 and lists Cameron S Burks, Practice Adminsitrator, as its authorized official.

NPPES Registry Identity

NPI1386235083
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWTPC, LLC
Location Address541 W PARK PLHenderson, TN 38340-2027
Mailing Address541 W Park PlHenderson, TN 38340-2027 · (731) 989-1007 · Fax (731) 989-0704
Fax(731) 989-0704
Organization SubpartNo
Authorized OfficialCameron S BurksPractice Adminsitrator · (731) 989-1007
Enumeration DateJanuary 27, 2021
Last NPPES UpdateJanuary 4, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2024
✔ NPI 1386235083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
541 W PARK PL, Henderson, TN 38340

Other Identifiers 1

Other883844TN · Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Wtpc, LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1053905000
541 W PARK PL
Henderson, TN 38340
(731) 989-1007
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235410481
541 W PARK PL
Henderson, TN 38340
(731) 989-1007
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851721385
541 W PARK PL
Henderson, TN 38340
(731) 989-1007
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215623004
541 W PARK PL
Henderson, TN 38340
(731) 989-1007
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659637924
200 W CHURCH ST
Lexington, TN 38351
(731) 968-3646
✔ PECOS✔ Accepts Medicare21 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 for Provider-Performed Microscopy Procedures (PPMP) 44D2218804

Wtpc, LLC · Henderson, TN
Active · expires Mar 30, 2027
CLIA Number44D2218804
Laboratory TypeRural Health Clinic
Certificate Effective DateMarch 31, 2025
Certificate Expiration DateMarch 30, 2027
Laboratory DirectorTraci K. Hill
Laboratory Phone(731) 989-1007
Laboratory LocationWtpc, LLC541 W Park Pl, Henderson, TN 38340
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Wtpc, LLC's NPI number?

The NPI number for Wtpc, LLC is 1386235083. It was assigned to this organization in the NPPES registry on January 27, 2021.

Where is Wtpc, LLC located?

Wtpc, LLC is located at 541 W Park Pl, Henderson, TN 38340. The listed phone number is (731) 989-1007.

What is Wtpc, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Wtpc, LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Wtpc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Wtpc, 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 (4) and Family Practice (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wtpc, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 44D2218804) is associated with this NPI, valid through March 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wtpc, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Wtpc, 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 Wtpc, LLC was last updated on January 4, 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.