TTRN Medical Services PLLC
Organization Active NPI Family Nurse Practitioner · Dyer, TN
NPI 1114400587 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1114400587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- TTRN MEDICAL SERVICES PLLC
- Practice address
- 1123 N Main St
Dyer, TN 38330-1019 - Phone
- (731) 692-2853
- NPI assigned
- Sep 12, 2018
- Organization subpart
- No
Authorized official
- Name
- Kalie Foust, NP
- Title
- Owner
- Phone
- (731) 617-0185
Practitioners 7
-
Kalie Foust, APN
-
Karen R Emison, FNP
-
Janie Kay Reed, FNP
-
Judy B. Bain, N.P.
-
Jamie Burrus, FNP-C
-
Katie E Vance, PA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D0925145 | TTRN Medical Services PLLC | Certificate of waiver | Jun 27, 2028 |
| 44D2221589 | TTRN Medical Services PLLC | Certificate of waiver | Apr 21, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190125001267 | TN | Part B Supplier - Clinic/Group Practice | 0042557225 |
Receives reassigned benefits from 7 practitioners Practice locations: Dyer, TN; Jackson, TN |
National Provider Directory
Locations
2062 Pleasant Plains Ext Rd
Ste E
Jackson, TN 38305
Phone (731) 664-2273
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1123 N Main St
Dyer, TN 38330-1019
Mailing address
1123 N Main St
Dyer, TN 38330-1019
Phone (731) 692-2853
Other practice location 1
2062 Pleasant Plains Ext Rd Ste E
Jackson, TN 38305-6086
Phone (731) 692-2853
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q045152 | Medicaid | TN |
Other names
- Premier Family Medicine
Other providers in Dyer, TN
- Rha Health Services TN, LLC
- Rha Trenton Mr Inc.
- Rha Trenton Mr Inc.
- Amy Schleifer
- Lisa Marie Siler
- Katie E Vance
- Tammie Jean Wade
- Kelly Michelle Weaver
- Janna Martenie Willer
All providers in Dyer, TN · Family Nurse Practitioner 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 27, 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.
- 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.