WAYNESBORO CLINIC, PC (NPI# 1780878389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780878389 |
| Entity Type | Organization |
| Organization Name | WAYNESBORO CLINIC, PC |
| Practice Address |
206 Clifton Tpke Waynesboro TN 38485-2301 |
| Mailing Address |
Po Box 778 206 Clifton Turnpike Waynesboro TN 38485-0778 |
| Practice Telephone | 9317223677 |
| Practice Fax Number | 9317229052 |
| Mailing Telephone | 9317223677 |
| Mailing Fax Number | 9317229052 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Authorized Official Name | DR. DONALD HOWARD POLK (OWNER/PHYSICAN) |
| Authorized Official Telephone | 9317223677 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
206 CLIFTON TPKE |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747778 | Donald H Polk | Emergency Medicine | 206 Clifton Tpke, Waynesboro, TN 38485-2301 | 2005-08-22 |
| 1407207814 | Waynesboro Clinic, LLC | Family Medicine | 206 Clifton Tpke, Waynesboro, TN 38485-2301 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760903066 | Wayne Provision | Community/Behavioral Health | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2017-06-28 |
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730511858 | Amg Crockett LLC | Family Medicine | 550 Highway 64 E, Hurricane Plaza Suite 4, Waynesboro, TN 38485-3037 | 2013-07-31 |
| 1578909347 | Kristamarie F Collman | Family Medicine | 201 Lew Dewitt Blvd Ste A, Waynesboro, VA 22980 | 2013-05-20 |
| 1275762320 | Arthur Eugene Wood Iv | Family Medicine | 920 Matthew Dr Ste D, Waynesboro, MS 39367-2553 | 2009-07-10 |
| 1285882662 | Wayne General Hospital | Family Medicine | 951 Matthew Dr Ste A, Waynesboro, MS 39367-2566 | 2008-08-28 |
| 1184814519 | Bonnie P Jenkins Md PC | Family Medicine | 201 Dogwood Drive, Waynesboro, GA 30830 | 2007-08-01 |
| 1477760122 | David Barclay Walthall IIi | Family Medicine | 541 Walnut Ave, Waynesboro, VA 22980 | 2007-05-16 |
| 1184842551 | Laura Jean Brand | Family Medicine | 2014 Goose Creek Rd, Suite 106, Waynesboro, VA 22980-6588 | 2007-04-23 |
| 1851488514 | Charles Todd Stokley | Family Medicine | 940 Matthew Drive, Suite 2, Waynesboro, MS 39367 | 2006-10-06 |
| 1023110392 | Joe I Hall Md PC | Family Medicine | 107 J V Mangubat Drive, Waynesboro, TN 38485-2440 | 2006-09-05 |
| 1861432916 | Bonnie P Jenkins | Family Medicine | 201 Dogwood Dr, Waynesboro, GA 30830-5445 | 2006-06-07 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
Please comment or provide details below to improve the information on WAYNESBORO CLINIC, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.