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Revalidation record

Woodridge Of West Tennessee, Llc — revalidation due 2026-11-30

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NPI 1922409788 · Non-DME Part B · TN · Enrollment ID O20211115001573

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·

This NPI has 2 enrollments. They stay separate. The detail below is the one to look at first.

EnrollmentStateFormDue
O20211115001573TN855B2026-11-30
O20150209002066TN855ATBD
Revalidation due
2026-11-30
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

This NPI's revalidation is due 2026-11-30 — in 32 days.

CMS listed this date in the public file. It can still move next month.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-11-30

Not an official CMS system. Verify before filing.

All TN revalidation dates for October 2026Where this date comes from