PRIMARY CARE FEDERALLY QUALIFIED HEALTH CENTER - WAYNESBORO
Medicare Clinicians for NPI 1669983995
Clinic/Center - Federally Qualified Health Center (FQHC) in Waynesboro, TN

Active since October 13, 2017CLIA 44D0882921 · Waiver
321 DEXTER L WOODS MEMORIAL BLVD STE E, WAYNESBORO, TN 38485(931) 722-9999(931) 722-2049 Get Directions

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 8, 2024, May 3, 2024, Apr 15, 2024 and 2 more (5 updates tracked since 2017).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Primary Care Federally Qualified Health Center - Waynesboro in Waynesboro, TN bills Medicare for 49 clinicians across 9 Medicare specialties. The largest specialties are Nurse Practitioner with 24, Internal Medicine with 9 and Family Practice with 6. Of these, 3 practice within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

49Clinicians
9Medicare specialties
49PECOS enrolled
10Accept Medicare
49 clinicians in 9 specialties

Nurse Practitioner (24)

Nurse Practitioner
NPI 1649202953
101 JV MANGUBAT DR SUITE B
Waynesboro, TN 38485
(931) 722-9999
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1548292840
101 JV MANGUBAT DR SUITE B
Waynesboro, TN 38485
(931) 722-9999
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1831705953
617 W MAIN ST
Hohenwald, TN 38462
(931) 796-4901
✔ PECOS19 mi
Nurse Practitioner
NPI 1336531698
617 W MAIN ST
Hohenwald, TN 38462
(931) 796-4901
✔ PECOS19 mi
Nurse Practitioner
NPI 1659022366
617 W MAIN ST
Hohenwald, TN 38462
(931) 796-4901
✔ PECOS19 mi
Nurse Practitioner
NPI 1033824461
200 S CROSS BRIDGES RD
Mt Pleasant, TN 38474
(931) 379-5821
✔ PECOS✔ Accepts Medicare35 mi
Nurse Practitioner
NPI 1629465133
1222 TROTWOOD AVE SUITE 108
Columbia, TN 38401
(931) 540-4140
✔ PECOS44 mi
Nurse Practitioner
NPI 1780366443
854 W JAMES M CAMPBELL BLVD
Columbia, TN 38401
(931) 540-4140
✔ PECOS44 mi
Nurse Practitioner
NPI 1588792220
854 W JAMES M CAMPBELL BLVD STE 301
Columbia, TN 38401
(931) 540-4140
✔ PECOS44 mi
Nurse Practitioner
NPI 1386116697
915 S GARDEN ST
Columbia, TN 38401
(931) 548-8090
✔ PECOS45 mi
Nurse Practitioner
NPI 1376863191
529 W COMMERCE ST
Lewisburg, TN 37091
(931) 270-9729
✔ PECOS55 mi
Nurse Practitioner
NPI 1780309112
335 1ST AVE N
Lewisburg, TN 37091
(931) 270-0050
✔ PECOS56 mi
Nurse Practitioner
NPI 1902200587
1090 N ELLINGTON PKWY STE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Nurse Practitioner
NPI 1992973101
1090 N ELLINGTON PKWY STE 201
Lewisburg, TN 37091
(931) 270-3655
✔ PECOS56 mi
Nurse Practitioner
NPI 1477212637
1090 N ELLINGTON PKWY STE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Nurse Practitioner
NPI 1396427993
1090 N ELLINGTON PKWY STE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Nurse Practitioner
NPI 1831045954
1090 N ELLINGTON PKWY STE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Nurse Practitioner
NPI 1356143580
1090 N ELLINGTON PKWY STE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Nurse Practitioner
NPI 1992947568
106 MEDICAL CENTER BLVD
Fayetteville, TN 37334
(931) 438-1100
✔ PECOS69 mi
Nurse Practitioner
NPI 1730566175
1114 N MAIN ST STE A
Shelbyville, TN 37160
(931) 365-2149
✔ PECOS74 mi
Nurse Practitioner
NPI 1295952505
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 322-5000
✔ PECOS78 mi
Nurse Practitioner
NPI 1720685910
461 21ST AVE S
Nashville, TN 37240
(615) 322-8876
✔ PECOS78 mi
Nurse Practitioner
NPI 1477115749
9301 PARK WEST BLVD STE B5
Knoxville, TN 37923
(865) 500-6422
✔ PECOS✔ Accepts Medicare210 mi
Nurse Practitioner
NPI 1487045621
420 34TH ST
Bakersfield, CA 93301
(661) 327-4647
✔ PECOS1,757 mi

Internal Medicine (9)

Internal Medicine
NPI 1538131073
617 W MAIN ST
Hohenwald, TN 38462
(931) 796-4901
✔ PECOS19 mi
Internal Medicine
NPI 1780264671
617 W MAIN ST
Hohenwald, TN 38462
(931) 796-4901
✔ PECOS19 mi
Internal Medicine
NPI 1891773057
1224 TROTWOOD AVE
Columbia, TN 38401
(931) 380-4072
✔ PECOS44 mi
Internal Medicine
NPI 1245506518
854 W JAMES M CAMPBELL BLVD STE 301
Columbia, TN 38401
(931) 328-0196
✔ PECOS44 mi
Internal Medicine
NPI 1316054133
854 W JAMES CAMPBELL BLVD SUITE 403
Columbia, TN 38401
(931) 380-0075
✔ PECOS✔ Accepts Medicare44 mi
Internal Medicine
NPI 1972957405
854 W JAMES M CAMPBELL BLVD STE 301
Columbia, TN 38401
(931) 540-4140
✔ PECOS✔ Accepts Medicare44 mi
Internal Medicine
NPI 1093155913
854 W JAMES M CAMPBELL BLVD STE 403
Columbia, TN 38401
(931) 380-0075
✔ PECOS44 mi
Internal Medicine
NPI 1851407548
1090 N ELLINGTON PKWY SUITE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Internal Medicine
NPI 1689134298
600 JULIAN LN STE 630
Arden, NC 28704
(828) 651-0121
✔ PECOS295 mi

Family Practice (6)

Family Practice
NPI 1821217852
101 JV MANGUBAT DR
Waynesboro, TN 38485
(931) 722-9999
✔ PECOS0.2 mi
Family Practice
NPI 1114019833
854 W JAMES CAMPBELL BLVD SUITE 403
Columbia, TN 38401
(931) 380-0075
✔ PECOS44 mi
Family Practice
NPI 1740635440
854 W JAMES M CAMPBELL BLVD STE 403
Columbia, TN 38401
(931) 380-0075
✔ PECOS44 mi
Family Practice
NPI 1487282315
1090 N ELLINGTON PKWY STE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Family Practice
NPI 1982829297
1090 N ELLINGTON PKWY SUITE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi
Family Practice
NPI 1700447521
1090 N ELLINGTON PKWY STE 102
Lewisburg, TN 37091
(931) 359-0019
✔ PECOS56 mi

Clinical Social Worker (3)

Clinical Social Worker
NPI 1508627084
1500 CARMACK BLVD
Columbia, TN 38401
(931) 451-0488
✔ PECOS45 mi
Clinical Social Worker
NPI 1336995927
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 322-3000
✔ PECOS78 mi
Clinical Social Worker
NPI 1366021487
212 N 2ND ST STE 100
Richmond, KY 40475
(502) 625-5089
✔ PECOS✔ Accepts Medicare255 mi

Obstetrics/Gynecology (3)

Obstetrics/Gynecology
NPI 1982993572
1203 TROTWOOD AVE
Columbia, TN 38401
(931) 490-1295
✔ PECOS✔ Accepts Medicare44 mi
Obstetrics/Gynecology
NPI 1841295672
1203 TROTWOOD AVENUE
Columbia, TN 38401
(931) 490-1295
✔ PECOS✔ Accepts Medicare44 mi
Obstetrics/Gynecology
NPI 1043658867
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333
Charleston, SC 29425
(843) 792-7108
✔ PECOS✔ Accepts Medicare481 mi

Hospitalist (1)

Hospitalist
NPI 1548245285
1224 TROTWOOD AVE
Columbia, TN 38401
(931) 380-4072
✔ PECOS✔ Accepts Medicare44 mi

Pediatric Medicine (1)

Pediatric Medicine
NPI 1760484414
100 COVEY DR STE 310
Franklin, TN 37067
(615) 203-8750
✔ PECOS67 mi

Physician Assistant (1)

Physician Assistant
NPI 1861508319
326 N LOCUST AVE
Lawrenceburg, TN 38464
(931) 762-9797
✔ PECOS✔ Accepts Medicare25 mi

Psychiatry (1)

Psychiatry
NPI 1689069569
854 W JAMES M CAMPBELL BLVD STE 301
Columbia, TN 38401
(931) 540-4140
✔ PECOS44 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Primary Care Federally Qualified Health Center - Waynesboro appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.