WEST TENNESSEE ENT CLINIC, P.A.
NPI 1720070535
Otolaryngology in Jackson, TN

Active since August 17, 2005CLIA 44D1021137 · Waiver
619 SKYLINE DR, JACKSON, TN 38301(731) 424-3682(731) 423-2714 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About West Tennessee Ent Clinic, P.a. NPPES

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

WEST TENNESSEE ENT CLINIC, P.A. (NPI 1720070535) is a healthcare organization registered as an otolaryngology in Jackson, Tennessee and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through October 9, 2026 and lists William Keith Wainscott, President, as its authorized official.

NPPES Registry Identity

NPI1720070535
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameWEST TENNESSEE ENT CLINIC, P.A.
Location Address619 SKYLINE DRJackson, TN 38301-3903
Mailing Address619 Skyline DrJackson, TN 38301-3903 · (731) 424-3682 · Fax (731) 423-2714
Fax(731) 423-2714
Organization SubpartNo
Authorized OfficialWilliam Keith WainscottPresident · (731) 424-3682
Enumeration DateAugust 17, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1720070535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
619 SKYLINE DR, Jackson, TN 38301

Other Identifiers 1

Medicaid3382042TN

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

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 44D1021137

West Tennessee Ent Clinic PA · Jackson, TN
Active · expires Oct 9, 2026
CLIA Number44D1021137
Laboratory TypePhysician Office
Certificate Effective DateOctober 10, 2024
Certificate Expiration DateOctober 9, 2026
Laboratory DirectorDr. Karl E. Studtmann MD
Laboratory Phone(731) 424-3682
Laboratory LocationWest Tennessee Ent Clinic PA619 Skyline Drive, Jackson, TN 38301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

Audiologist-Hearing Aid Fitter
619 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
619 SKYLINE DR
JACKSON, TN 38301
Family Medicine
619 SKYLINE DR
JACKSON, TN 38301
Family Medicine
619 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
619 SKYLINE DR
JACKSON, TN 38301
Otolaryngology
619 SKYLINE DR
JACKSON, TN 38301
Nurse Practitioner (Family)
619 SKYLINE DR
JACKSON, TN 38301
Family Medicine
619 SKYLINE DR
JACKSON, TN 38301

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 West Tennessee Ent Clinic, P.A.'s NPI number?

The NPI number for West Tennessee Ent Clinic, P.A. is 1720070535. It was assigned to this organization in the NPPES registry on August 17, 2005.

Where is West Tennessee Ent Clinic, P.A. located?

West Tennessee Ent Clinic, P.A. is located at 619 Skyline Dr, Jackson, TN 38301. The listed phone number is (731) 424-3682.

What is West Tennessee Ent Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Does West Tennessee Ent Clinic, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D1021137) is associated with this NPI, valid through October 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Tennessee Ent Clinic, P.A. 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 West Tennessee Ent Clinic, P.A. 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 West Tennessee Ent Clinic, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.