Active NPI
WT Medical Associates
- Internal Medicine Physician
- Dyersburg, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WT MEDICAL ASSOCIATES
- Practice address
- 1629 Woodlawn Ave
Dyersburg, TN 38024 - Phone
- (731) 512-1277
- Fax
- (731) 285-1440
- NPI assigned
- Apr 25, 2018
- Last updated
- Oct 30, 2025
- 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
- Bartley Teague
- Title
- Executive Director
- Phone
- (731) 512-1277
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Nurse Practitioner | 363L00000X | |||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Primary Care Nurse Practitioner | 363LP2300X | |||
| Women's Health Nurse Practitioner | 363LW0102X | |||
| Advanced Practice Midwife | 367A00000X |
Addresses
Primary practice location
1629 Woodlawn Ave
Dyersburg, TN 38024
Mailing address
257 Bancorp South Pkwy
Jackson, TN 38305-7582
Other practice location 1
455 E Parkview St
Dyersburg, TN 38024-3111
Phone (731) 285-2100
Other practice location 2
503 E Tickle St Ste A
Dyersburg, TN 38024-3165
Phone (731) 285-5244
Other practice location 3
420 Wilkinson Dr Fl 2
Dyersburg, TN 38024-2085
Phone (731) 285-5133
Other practice location 4
1716 Parr Ave Ste B
Dyersburg, TN 38024-2074
Phone (731) 288-3375
Other practice location 5
462 S Church St
Halls, TN 38040-1555
Phone (731) 836-9303
Other practice location 6
1718 Parr Ave Ste E
Dyersburg, TN 38024-2071
Phone (731) 288-2452
Other practice location 7
1718 Parr Ave Ste C
Dyersburg, TN 38024-2075
Phone (731) 288-2447
Other practice location 8
21 Meridian Springs Dr
Jackson, TN 38301-5900
Phone (731) 256-0526
Other practice location 9
143 Kennedy Dr
Martin, TN 38237-3309
Phone (731) 587-5321
Other practice location 10
1716 Parr Ave Ste C
Dyersburg, TN 38024-2074
Phone (731) 285-2324
Other practice location 11
379 Hospital Blvd
Jackson, TN 38305-2080
Phone (731) 660-5160
Other practice location 12
31 Physicians Dr
Jackson, TN 38305-2071
Phone (731) 668-9791
Other practice location 13
1270 Union University Dr Ste A
Jackson, TN 38305-3856
Phone (731) 664-0103
Other practice location 14
1718 Parr Ave Ste B
Dyersburg, TN 38024-2075
Phone (731) 286-4445
Other practice location 15
1716 Parr Ave Ste F
Dyersburg, TN 38024-2074
Phone (731) 285-1933
Other practice location 16
1718 Parr Ave Ste A
Dyersburg, TN 38024-2075
Phone (731) 285-4104
Other practice location 17
1055 Vendall Rd Ste A
Dyersburg, TN 38024-1622
Phone (731) 285-9938
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q037006 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180814002772 | TN | Part B Supplier - Clinic/Group Practice | 1951650613 |
Receives reassigned benefits from 107 practitioners 3 other NPIs on this enrollment Practice locations: Jackson, TN; Martin, TN; MC Kenzie, TN; Paris, TN; Ridgely, TN; Ripley, TN; Buchanan, TN; Camden, TN… |
Other NPIs with the same Medicare PAC ID 4
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba West Tennessee Medical Group Pediatrics Paris Henry C
- Rural Health Clinic/Center
- Paris, TN
- NPI 1316496029
1951650613
-
dba West Tennessee Medical Group Primary Care Camden
- Rural Health Clinic/Center
- Camden, TN
- NPI 1356021026
1951650613
-
dba West Tennessee Medical Group Primary Care Halls
- Rural Health Clinic/Center
- Halls, TN
- NPI 1356176556
1951650613
-
dba West Tennessee Medical Group Primary Care & Women's Health
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1427604198
1951650613
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba West Tennessee Medical Group Pediatrics Paris Henry C
- Rural Health Clinic/Center
- Paris, TN
- NPI 1316496029
O20180814002772
-
dba West Tennessee Medical Group Primary Care Camden
- Rural Health Clinic/Center
- Camden, TN
- NPI 1356021026
O20180814002772
-
dba West Tennessee Medical Group Primary Care & Women's Health
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1427604198
O20180814002772
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1042921 | WT Medical Associates Dba West Tennessee Medical | Certificate of waiver | Jul 11, 2027 |
| 44D1082526 | WT Medical Associates Dba West Tennessee Medical | Certificate of waiver | Apr 10, 2028 |
| 44D2007405 | WT Medical Associates Dba West Tennessee Medical | Certificate of waiver | May 16, 2028 |
| 44D2033080 | WT Medical Associates Dba West Tennessee Medical | Certificate of waiver | Nov 21, 2027 |
| 44D2033550 | WT Medical Associates Dba West Tennessee | Certificate of waiver | Dec 5, 2027 |
| 44D2131805 | WT Medical Associates Dba West Tennessee Medical | Certificate of waiver | Jun 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
710 E Main St
Adamsville, TN 38310
Phone (731) 632-3383
1055 Vendall Rd
Ste A
Dyersburg, TN 38024
1716 Parr Ave
Ste F
Dyersburg, TN 38024
Phone (731) 285-1933
1718 Parr Ave
Ste D
Dyersburg, TN 38024
Phone (731) 288-3370
1718 Parr Ave
Ste E
Dyersburg, TN 38024
Phone (731) 288-2452
420 Wilkinson Dr
#2
Dyersburg, TN 38024
420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133
445 E Parkview St
Dyersburg, TN 38024
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| West Tennessee Medical Group Primary Care & Women's Health | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2019 |
| West Tennessee Medical Group Primary Care Camden | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jun 1, 2018 |
| West Tennessee Medical Group Pediatrics Paris Henry County | Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Oct 1, 2024 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba West Tennessee Medical Group Pediatrics Paris Henry C
- Rural Health Clinic/Center
- Paris, TN
- NPI 1316496029
5% Or Greater Direct Ownership Interest
-
dba West Tennessee Medical Group Primary Care Camden
- Rural Health Clinic/Center
- Camden, TN
- NPI 1356021026
5% Or Greater Direct Ownership Interest
-
dba West Tennessee Medical Group Primary Care & Women's Health
- Rural Health Clinic/Center
- Dyersburg, TN
- NPI 1427604198
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Practitioners 113
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.
-
- Surgery Physician
- Jackson, TN
- NPI 1831727569
-
- Family Nurse Practitioner
- Paris, TN
- NPI 1275536682
-
- Family Nurse Practitioner
- Dyersburg, TN
- NPI 1871326561
-
- Endocrinology, Diabetes & Metabolism Physician
- Dyersburg, TN
- NPI 1689677296
Internal Medicine
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1912490707
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1790368231
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1760134936
-
- Internal Medicine Physician
- Dyersburg, TN
- NPI 1063618932
-
- Obstetrics & Gynecology Physician
- Memphis, TN
- NPI 1902891179
-
- Obstetrics & Gynecology Physician
- Crossville, TN
- NPI 1992725147
-
- Family Nurse Practitioner
- Jackson, TN
- NPI 1255924932
-
- Internal Medicine Physician
- Paris, TN
- NPI 1770565459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761782400000",
"number": "1295223279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "257 BANCORP SOUTH PKWY",
"city": "JACKSON",
"state": "TN",
"postal_code": "383057582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 WOODLAWN AVE",
"city": "DYERSBURG",
"state": "TN",
"postal_code": "38024",
"telephone_number": "731-512-1277",
"fax_number": "731-285-1440"
}
],
"practiceLocations": [
{
"address_1": "455 E Parkview St",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380243111",
"country_code": "US",
"telephone_number": "731-285-2100",
"fax_number": "731-285-6419",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "503 E Tickle St Ste A",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380243165",
"country_code": "US",
"telephone_number": "731-285-5244",
"fax_number": "731-288-3379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "420 Wilkinson Dr Fl 2",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242085",
"country_code": "US",
"telephone_number": "731-285-5133",
"fax_number": "731-285-6028",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1716 Parr Ave Ste B",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242074",
"country_code": "US",
"telephone_number": "731-288-3375",
"fax_number": "731-288-3379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "462 S Church St",
"address_purpose": "LOCATION",
"city": "Halls",
"state": "TN",
"postal_code": "380401555",
"country_code": "US",
"telephone_number": "731-836-9303",
"fax_number": "731-836-8603",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 Parr Ave Ste E",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242071",
"country_code": "US",
"telephone_number": "731-288-2452",
"fax_number": "731-288-3371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 Parr Ave Ste C",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242075",
"country_code": "US",
"telephone_number": "731-288-2447",
"fax_number": "731-288-2448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21 Meridian Springs Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383015900",
"country_code": "US",
"telephone_number": "731-256-0526",
"fax_number": "731-256-1720",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "143 Kennedy Dr",
"address_purpose": "LOCATION",
"city": "Martin",
"state": "TN",
"postal_code": "382373309",
"country_code": "US",
"telephone_number": "731-587-5321",
"fax_number": "731-587-2555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1716 Parr Ave Ste C",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242074",
"country_code": "US",
"telephone_number": "731-285-2324",
"fax_number": "731-285-1440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "379 Hospital Blvd",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383052080",
"country_code": "US",
"telephone_number": "731-660-5160",
"fax_number": "731-984-8358",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "31 Physicians Dr",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383052071",
"country_code": "US",
"telephone_number": "731-668-9791",
"fax_number": "731-512-3548",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Union University Dr Ste A",
"address_purpose": "LOCATION",
"city": "Jackson",
"state": "TN",
"postal_code": "383053856",
"country_code": "US",
"telephone_number": "731-664-0103",
"fax_number": "731-265-6448",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 Parr Ave Ste B",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242075",
"country_code": "US",
"telephone_number": "731-286-4445",
"fax_number": "731-286-4452",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1716 Parr Ave Ste F",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242074",
"country_code": "US",
"telephone_number": "731-285-1933",
"fax_number": "731-285-1934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1718 Parr Ave Ste A",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380242075",
"country_code": "US",
"telephone_number": "731-285-4104",
"fax_number": "731-285-8157",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1055 Vendall Rd Ste A",
"address_purpose": "LOCATION",
"city": "Dyersburg",
"state": "TN",
"postal_code": "380241622",
"country_code": "US",
"telephone_number": "731-285-9938",
"fax_number": "731-287-9764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WT MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-25",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "BARTLEY",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "731-512-1277"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q037006",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dyersburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.