Donald H Polk, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TNDO127 Issued in TN

Practice address

206 Clifton Tpke
Waynesboro, TN 38485-2301

Phone

(931) 722-3677

Fax

(931) 722-9052

NPI assigned

Aug 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Waynesboro Clinic, LLC

  • Family Medicine Physician
  • Waynesboro, TN
  • NPI 1407207814

  Family Medicine, TN

  Medicare reassignment NPD Authorized official
• Waynesboro Clinic, PC

  • Family Medicine Physician
  • Waynesboro, TN
  • NPI 1780878389

  Family Medicine

  NPD Authorized official
• Maury Regional Hospital

  • General Acute Care Hospital
  • Waynesboro, TN
  • NPI 1811927544
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maury Regional Hospital

  • General Acute Care Hospital
  • Waynesboro, TN
  • NPI 1811927544

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wayne Medical Center Hospital, Waynesboro, TN, CCN 440780

Procedures performed for Medicare patients

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14068/brand/1/csg/1/fhir/r4
• Direct secure messaging: donald.polk.1@14068.direct.athenahealth.com

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1497747778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 778",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384850778",
            "telephone_number": "931-722-3677",
            "fax_number": "931-722-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CLIFTON TPKE",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852301",
            "telephone_number": "931-722-3677",
            "fax_number": "931-722-9052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "DONALD",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "TNDO127",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "DO127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3300793",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Khearra Mosley, MA
• MRH Dba WMC
• Joseph C. Murphy, D.PH.
• Ashley Danielle Musselwhite
• Donald Gabriel Polk, D.O.
• Alexandria Nicole Popeholt, MSN, FNP
• Kendra R Prater-Holt, NP
• Donna J Prater, APN
• Nelda Prater, M.A.
• Prime Physical Therapy

• All providers in Waynesboro, TN
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.