Waynesburg Clinic

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

WAYNESBURG CLINIC

Practice address

14098 Ky Highway 27 South
Waynesburg, KY 40489

Phone

(606) 379-6646

Fax

(606) 379-5707

NPI assigned

Aug 6, 2007

Last updated

Oct 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Duvall Sims, MDNPI 1386687457

Title

Medical Director

Phone

(606) 365-1547

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Duvall Sims, MD

  • Family Medicine Physician
  • Stanford, KY
  • NPI 1386687457
  Authorized official Same address or phone

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1437340346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 330",
            "city": "STANFORD",
            "state": "KY",
            "postal_code": "404840330",
            "telephone_number": "606-379-6646",
            "fax_number": "606-379-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14098 KY HIGHWAY 27 SOUTH",
            "city": "WAYNESBURG",
            "state": "KY",
            "postal_code": "40489",
            "telephone_number": "606-379-6646",
            "fax_number": "606-379-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNESBURG CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-06",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "DUVALL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "606-365-1547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln County Health Department (School Health Office Waynesburg Elementary School)
• Lora Danielle Richardson
• Tracy Lynn Singleton, O.T.
• Brittany Turpin, PHARMD
• Waynesburg Area Rescue Squad
• Waynesburg Clinic, PLLC

• Medical Physician Assistant in Waynesburg, KY
• Providers in Waynesburg, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.