NPIMap

Organization Active NPI

Wayne General Hospital

Doing business as Wayne General Walk-In Clinic

  • Family Medicine Physician
  • Waynesboro, MS
National Provider Identifier
1467174615
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAYNE GENERAL HOSPITAL
Doing business as
Wayne General Walk-In Clinic
Practice address
940 Matthew Dr Ste 8
Waynesboro, MS 39367-2534
Phone
(601) 735-7246
Fax
(601) 735-7248
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
WAYNE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Rachel Evans
Title
CLM
Phone
(601) 671-2825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

940 Matthew Dr Ste 8
Waynesboro, MS 39367-2534

Mailing address

940 Matthew Dr Ste 8
Waynesboro, MS 39367-2534
Phone (601) 735-7246

Other names 1

  • Wayne General Walk-In Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wayne General Hosp Gen14 organizations share this tax ID, including this one
Part of
Wayne General Hosp Gen

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1467174615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 MATTHEW DR STE 8",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672534",
            "telephone_number": "601-735-7246",
            "fax_number": "601-735-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MATTHEW DR STE 8",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672534",
            "telephone_number": "601-735-7246",
            "fax_number": "601-735-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE GENERAL HOSPITAL",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-12",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CLM",
        "authorized_official_telephone_number": "601-671-2825"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayne General Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.