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DR. DONALD GABRIEL POLK D.O.
NPI 1942294863
Family Medicine in Waynesboro, TN

Active since September 07, 2005PECOS Enrolled
103 JV MANGUBAT DR, WAYNESBORO, TN 38485(931) 762-9418(931) 722-9081 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Donald Gabriel Polk D.o. NPPES

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

DR. DONALD GABRIEL POLK D.O. (NPI 1942294863) is an individual family medicine provider in Waynesboro, Tennessee, licensed in Tennessee (DO1538) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942294863
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DONALD GABRIEL POLKCredential: D.O.
Location Address103 JV MANGUBAT DRWaynesboro, TN 38485-2440
Mailing Address2717 East Oakland AvenueJohnson City, TN 37601-1843 · (423) 926-2358 · Fax (423) 926-2680
Phone(931) 762-9418
Fax(931) 722-9081
Sole ProprietorYes
Enumeration DateSeptember 7, 2005
Last NPPES UpdateJanuary 10, 2024
✔ NPI 1942294863 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 · DO1538
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.
103 JV MANGUBAT DR, Waynesboro, TN 38485
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Other Names 1

Other Name (5)Dr. D. Gabriel Polk D.o.

Other Identifiers 1

Medicaid33079841TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Donald Gabriel Polk D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Polk reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Perry County Community Hospital Inc
19 mi
Critical Access
2718 SQUIRREL HOLLOW DR
Linden, TN 37096
  • Reassigned Medicare billing, Tennessee enrollment
  • 27 clinicians in this Medicare group
NPI 1528890480 (731) 968-3646
Southeastern Emergency Physicians LLC
316 mi
Emergency Medicine
989 MEDICAL PARK DR
Maysville, KY 41056
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,071 clinicians in this Medicare group
NPI 1356379382 (606) 759-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
299 services125 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
221 services129 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
103 services100 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
34 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
27 services23 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38485 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

WAYNESBORO EMERGENCY SERVICES II, LLC
Emergency Medicine
103 JV MANGUBAT DR
WAYNESBORO, TN 38485
Wayne County (931) 722-5411
LIFECARE FAMILY SERVICES
Community/Behavioral Health
103 JV MANGUBAT DR, MEDICAL OFFICE-SUITE C
WAYNESBORO, TN 38485
Wayne County (615) 781-0013
DR. OLIVIA KATHRYN BARRINGTON PHARM.D.
Pharmacist
103 JV MANGUBAT DR
WAYNESBORO, TN 38485
Wayne County (931) 722-2038
MRS. KELSEY LEE COTA/L
Occupational Therapy Assistant
103 JV MANGUBAT DR
WAYNESBORO, TN 38485
Wayne County (931) 722-5411
SAMUEL PRESTON WELCH NP-C
Nurse Practitioner (Primary Care)
103 JV MANGUBAT DR
WAYNESBORO, TN 38485
Wayne County (931) 722-5411
JERRY M DUREN
Pharmacy (Institutional Pharmacy)
103 JV MANGUBAT DR
WAYNESBORO, TN 38485
Wayne County (931) 722-2038
ROBERT COBLE MD
Emergency Medicine
103 JV MANGUBAT DR
WAYNESBORO, TN 38485
Wayne County (904) 805-1300
SOUTHLAND TN EMERGENCY MEDICAL SERVICES LLC
Emergency Medicine
103 JV MANGUBAT DR
WAYNESBORO, TN 38485
Wayne County (229) 236-0831

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 Donald Polk's NPI number?

The NPI number for Donald Polk is 1942294863. It was assigned to this individual provider in the NPPES registry on September 7, 2005. The provider is also known as Dr. D. Gabriel Polk D.O..

Where is Donald Polk located?

Donald Polk practices at 103 Jv Mangubat Dr, Waynesboro, TN 38485. The listed phone number is (931) 762-9418.

What is Donald Polk's specialty?

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

Is Donald Polk enrolled in Medicare?

Yes. Donald Polk is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donald Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Polk reassigns Medicare benefits to 2 organizations: Perry County Community Hospital Inc (Linden, TN) and Southeastern Emergency Physicians LLC (Maysville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donald Polk was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.