Keliea Ann Winstead, PA-C
Individual provider Active NPI Medical Physician Assistant · MC Kenzie, TN
NPI 1003353699 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1003353699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 3201 (TN)
- Practice address
- 205A Hospital Dr
MC Kenzie, TN 38201-1649 - Phone
- (731) 352-7907
- NPI assigned
- Jan 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McKenzie Medical Center PC
Practice addresses (Care Compare)
105 N Cedar St
Gleason, TN 38229-7264
Phone (731) 648-5634
1731 S Meridan St
Greenfield, TN 38230-1827
Phone (731) 352-7907
1894 Cedar St
MC Kenzie, TN 38201-2206
Phone (731) 352-7907
205 A Court SQ
Huntingdon, TN 38344-3710
Phone (731) 352-7907
205 A Hospital Dr
MC Kenzie, TN 38201-2024
Phone (901) 352-7907
205 Hospital Dr
Suite a
MC Kenzie, TN 38201-2024
205 Hospital Dr
Suite C
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
811 Morrow St
Suite 207
Dresden, TN 38225-1847
Phone (731) 364-4900
Hospital & facility affiliations
- Baptist Memorial Home Care
- Baptist Memorial Hospital - Carroll County
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171121002354 | TN | Practitioner - Physician Assistant | 2163789462 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McKenzie Medical Center PC | Current |
Accepting new patients | |
| McKenzie Medical Center PC | Current |
Accepting new patients | |
| McKenzie Medical Center PC | Physician Assistant | Current | Accepting new patients |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| McKenzie Medical Center PC | Physician Assistant | Past | Accepting new patients |
| McKenzie Medical Center, PC | Physician Assistant | Past | Accepting new patients |
Locations
30810 Broad St
Bruceton, TN 38317
Phone (731) 586-4800
306 Highway 641 N
Camden, TN 38320
Phone (731) 213-2344
306 Highway 641 N
Ste A
Camden, TN 38320
811 Morrow St
Ste 207
Dresden, TN 38225
Phone (731) 364-4900
105 N Cedar St
Gleason, TN 38229
Phone (731) 648-5634
205 Court Sq
#A
Huntingdon, TN 38344
Phone (731) 535-5765
1894 Cedar St
Mc Kenzie, TN 38201
Phone (731) 207-6496
205 Hospital Dr
Ste C
Mc Kenzie, TN 38201
Phone (731) 207-8560
205 Hospital Dr
Ste A
Mc Kenzie, TN 38201
Phone 7313527907 ext. 429
205C Hospital Dr
Mc Kenzie, TN 38201
Phone (731) 352-0820
Interoperability endpoints
- kwinstead578904@direct.bmhcc.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3201 | TN | Yes |
Addresses
Primary practice location
205A Hospital Dr
MC Kenzie, TN 38201-1649
Mailing address
205A Hospital Dr
MC Kenzie, TN 38201-1649
Phone (731) 352-7907
Other practice location 1
205A Court Sq
Huntingdon, TN 38344-3710
Phone (731) 535-5765
Other practice location 2
1731 S Meridian St
Greenfield, TN 38230-1827
Phone (731) 678-0055
Other practice location 3
205C Hospital Dr
Mc Kenzie, TN 38201-1649
Phone (731) 207-8560
Other practice location 4
306 Highway 641 N
Camden, TN 38320-3012
Phone (731) 213-2344
Other practice location 5
811 Morrow St Ste 207
Dresden, TN 38225-1847
Phone (731) 364-4900
Other practice location 6
1894 Cedar St
Mc Kenzie, TN 38201-2206
Phone (731) 207-6496
Other practice location 7
105 N Cedar St
Gleason, TN 38229-7264
Phone (731) 648-5634
Other names
- Miss Keliea Sullivan
Other providers in MC Kenzie, TN
- Mark Alexander Weaver
- David Whitlow
- Mark Thomas Williams
- Tavares Kinte Williams
- Christopher Joe Winstead
- Lakeshia Yarbrough
- Debyon Renee Yeates
All providers in MC Kenzie, TN · Medical Physician Assistant in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.