Gates J Wayburn Jr., MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD9802 Issued in TN

Practice address

4306 Harding Rd
Ste 300
Nashville, TN 37205

Phone

(615) 383-4303

Fax

(615) 269-4970

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nashville Eye Center Optical

  • Durable Medical Equipment & Medical Supplies
  • Nashville, TN
  • NPI 1528260999
  NPD (past)
• Nashville Vision Associates, PLC

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1548239437
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1205869856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 HARDING RD",
            "address_2": "STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-383-4303",
            "fax_number": "615-269-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4306 HARDING RD",
            "address_2": "STE 300",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37205",
            "telephone_number": "615-383-4303",
            "fax_number": "615-269-4970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYBURN",
        "first_name": "GATES",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD9802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3160348",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wawa LLC
• Fritz Wawa, M.D.
• Amy L Way, CRNA
• Samantha Venard Way
• Waybridge TN PC
• Shalinee Wayland, MD
• Laura Wayman, MD
• Madeline Pearl Richards Waymire, MD
• Januarie Wayne
• Kendra Wayne

• Ophthalmology Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.