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WAYNESBORO CLINIC, LLC
NPI 1407207814
Family Medicine in Waynesboro, TN

Active since June 27, 2016CLIA 44D0316041 · Waiver
206 CLIFTON TPKE, WAYNESBORO, TN 38485(931) 722-3677(931) 722-4677 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Waynesboro Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WAYNESBORO CLINIC, LLC (NPI 1407207814) is a healthcare organization registered as a family medicine in Waynesboro, Tennessee and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Donald Howard Polk, Member/physician, as its authorized official.

NPPES Registry Identity

NPI1407207814
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWAYNESBORO CLINIC, LLC
Location Address206 CLIFTON TPKEWaynesboro, TN 38485-2301
Mailing AddressPo Box 778Waynesboro, TN 38485-0778
Phone(931) 722-3677
Fax(931) 722-4677
Organization SubpartNo
Authorized OfficialDonald Howard PolkMember/physician · (931) 722-3677
Enumeration DateJune 27, 2016
✔ NPI 1407207814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · DO127
Definition
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.
206 CLIFTON TPKE, Waynesboro, TN 38485
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0316041

Waynesboro Clinic, LLC · Waynesboro, TN
Active · expires Dec 22, 2027
CLIA Number44D0316041
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDonald H. Polk Do
Laboratory Phone(931) 722-3677
Laboratory LocationWaynesboro Clinic, LLC206 Clifton Turnpike, Waynesboro, TN 38485
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD H POLK DO
Family Medicine
206 CLIFTON TPKE
WAYNESBORO, TN 38485
Wayne County (931) 722-3677
WAYNESBORO CLINIC, PC
Family Medicine
206 CLIFTON TPKE
WAYNESBORO, TN 38485
Wayne County (931) 722-3677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Waynesboro Clinic, LLC's NPI number?

The NPI number for Waynesboro Clinic, LLC is 1407207814. It was assigned to this organization in the NPPES registry on June 27, 2016.

Where is Waynesboro Clinic, LLC located?

Waynesboro Clinic, LLC is located at 206 Clifton Tpke, Waynesboro, TN 38485. The listed phone number is (931) 722-3677.

What is Waynesboro Clinic, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Waynesboro Clinic, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0316041) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Waynesboro Clinic, LLC was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.