Elite Psychiatry of Tennessee LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

ELITE PSYCHIATRY OF TENNESSEE LLC

Practice address

403 Henslee Dr
Dickson, TN 37055-2166

Phone

(615) 637-3131

Fax

(931) 208-3616

NPI assigned

Oct 6, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

KD Wainwright, PANPI 1326557646

Title

Owner

Phone

(615) 637-3131

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• KD Wainwright, PA

  • Physician Assistant
  • Dickson, TN
  • NPI 1326557646
  Medicare reassignment Care Compare group Authorized official
• Jocelyn Decker, FNP

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1003245689
  Medicare reassignment Care Compare group NPD
• Sky Ian Hicks, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Clarksville, TN
  • NPI 1609626845
  Medicare reassignment Care Compare group NPD
• Brittany McKay

  • Psychiatric/Mental Health Nurse Practitioner
  • Dickson, TN
  • NPI 1184330698
  Medicare reassignment Care Compare group NPD
• Alexa Marie Wroblewski, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Franklin, TN
  • NPI 1750264008
  Medicare reassignment Care Compare group NPD
• Claire Bostic, PA-C

  • Physician Assistant
  • Hendersonville, TN
  • NPI 1386388437
  Medicare reassignment Care Compare group
• Loretta Pentlicki, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Centerville, TN
  • NPI 1871126482
  Medicare reassignment Care Compare group
• David Andrew Vincent, PA-C

  • Physician Assistant
  • Dickson, TN
  • NPI 1003454349
  Medicare reassignment Care Compare group
• Tyler K Jones, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Dickson, TN
  • NPI 1679323620
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1023733557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-637-3131",
            "fax_number": "931-208-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552166",
            "telephone_number": "615-637-3131",
            "fax_number": "931-208-3616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Main St Ste 106",
            "address_purpose": "LOCATION",
            "city": "Dickson",
            "state": "TN",
            "postal_code": "370551838",
            "country_code": "US",
            "telephone_number": "615-637-3131",
            "fax_number": "931-208-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7982 Coley Davis Rd",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "37221",
            "country_code": "US",
            "telephone_number": "615-637-3131",
            "fax_number": "931-208-3616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "165 Indian Lake Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "37075",
            "country_code": "US",
            "telephone_number": "615-637-3131",
            "fax_number": "931-208-3616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE PSYCHIATRY OF TENNESSEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "WAINWRIGHT",
        "authorized_official_first_name": "KD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-637-3131",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenna Claire Eggleton, NP
• Imudia Dekonte Ehanire, MD
• Andrea Elyse Ellington, M.S. CF-SLP
• Carolyn Ellis
• Anna Lynn Epley, CHPT
• Lacey Erranton
• Kelly Estes, COTA

• Physician Assistant in Dickson, TN
• Providers in Dickson, TN by specialty
• Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.