Active NPI
GTW, LLC
Doing business as Tristar Family Care
- Primary Care Clinic/Center
- Huntingdon, TN
National Provider Identifier
1104571405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- GTW, LLC
- Doing business as
- Tristar Family Care
- Practice address
- 126 W Paris St
Huntingdon, TN 38344-3608 - Phone
- (731) 535-3600
- Fax
- (731) 535-3603
- NPI assigned
- Feb 15, 2022
- Last updated
- Sep 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Kay Page
- Title
- Credentialing Manager
- Phone
- (731) 693-3465
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary | |
| Family Nurse Practitioner | 363LF0000X | NU |
Addresses
Primary practice location
126 W Paris St
Huntingdon, TN 38344-3608
Mailing address
PO Box 506
Huntingdon, TN 38344-0506
Phone (731) 431-2579
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q071950 | Medicaid | TN |
Other names 1
- TRISTAR FAMILY CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
126 W Paris St
Huntingdon, TN 38344
Phone (731) 431-2579
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Huntingdon, TN
- NPI 1750390399
-
- Family Nurse Practitioner
- Huntingdon, TN
- NPI 1588083133
-
- Medical Physician Assistant
- McKenzie, TN
- NPI 1003353699
-
- Psychiatric/Mental Health Nurse Practitioner
- Dresden, TN
- NPI 1295340826
Family
-
- Family Medicine Physician
- Huntingdon, TN
- NPI 1194774802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789948800000",
"number": "1104571405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 506",
"city": "HUNTINGDON",
"state": "TN",
"postal_code": "383440506",
"telephone_number": "731-431-2579",
"fax_number": "731-499-8175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 W PARIS ST",
"city": "HUNTINGDON",
"state": "TN",
"postal_code": "383443608",
"telephone_number": "731-535-3600",
"fax_number": "731-535-3603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GTW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-15",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A",
"authorized_official_last_name": "PAGE",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "731-693-3465"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q071950",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "TRISTAR FAMILY CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TRISTAR FAMILY CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntingdon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.