KD WAINWRIGHT (PA) – Physician Assistant, NPI 1326557646

KD WAINWRIGHT (PA) is a healthcare provider. based in Dickson, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 4330 (TN). The NPI Number for KD WAINWRIGHT (PA) is 1326557646

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
KD WAINWRIGHT (PA)
NPI
1326557646
Phone
(615) 637-3131
Address
207 N Main St Ste 106
Enumeration Date
29 September 2017
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
3870851041
Group Practice PAC ID
2365811692
Professional Enrollment ID
I20210511002712
Address ID
TN370551838DI207XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for KD WAINWRIGHT (PA)

  • 207 N Main St Ste 106

    Dickson, TN 370551838

    Phone: (615) 637-3131

    Type: Location

  • 5430 Military Trl

    Jupiter, FL 334582873

    Phone: (561) 263-7010

    Type: Location

  • 2550 SE Walton Rd

    Port Saint Lucie, FL 34952

    Phone: (772) 335-0400

    Type: Location

  • 1050 SE Monterey Rd Ste 101

    Stuart, FL 349944512

    Phone: (772) 419-0560

    Type: Location

  • 2550, Southeast Walton Road, Port St. Lucie, St. Lucie County, Florida, 34952, United States

    PORT SAINT LUCIE, FL 349527168

    Phone: (772) 335-0400

    Type: Mailing

  • 403 HENSLEE DR

    DICKSON, TN 370552166

    Phone: (615) 637-3131

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 113 Open Payments records for all available years, with a total value of $3,697.

Total Amount is formed as General ($3,697) + Research ($0) + Ownership ($0) = $3,697.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($1,673).

Total Amount

$3,697

General + Research + Ownership

Payments

113

Total payment records

General Amount

$3,697

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171215001246IPhysician AssistantFLTBD
I20210511002712IPhysician AssistantTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365811692View full group profile
NameSpecialtyState
Nurse PractitionerTN
Physician AssistantTN
Nurse PractitionerTN
Physician AssistantTX
Nurse PractitionerTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What is the 10-digit NPI for KD WAINWRIGHT (PA)?
KD WAINWRIGHT (PA) — NPI 1326557646 — is the standard way to identify this listing.
Is KD WAINWRIGHT (PA) listed as active for patients and plans?
The listing shows KD WAINWRIGHT (PA) as active in the NPI system.
What taxonomy line describes KD WAINWRIGHT (PA)?
For research purposes, treat KD WAINWRIGHT (PA) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KD WAINWRIGHT (PA) on a map?
Expect Dickson, Tennessee as a primary anchor for KD WAINWRIGHT (PA) unless the record lists multiple sites.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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