Waynesboro Clinic, LLC
NPI 1407207814ActiveOrganization· Family Medicine· Waynesboro, TN
Family Medicine in Waynesboro, Tennessee, registered in NPPES in June 2016. The authorized official on file is Donald Howard Polk, DO, Member/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407207814 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 27, 2016 |
| Last updated in NPPES | Jun 27, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO127 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TN) |
|---|
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