Individual provider Active NPI

Wayne Jefferson Berry III, MD

  • Family Medicine Physician
  • Newport, TN
National Provider Identifier
1508244435
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
67624 Issued in TN
Practice address
407 4TH St
Newport, TN 37821-3755
Phone
(423) 623-6240
Fax
(423) 623-0102
NPI assigned
May 12, 2015
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 28263 WV
Family Medicine Physician 207Q00000X 28253 WV
Family Medicine Physician 207Q00000X 0101273638 VA
Family Medicine Physician 207Q00000X 67624 TN Primary

Addresses

Primary practice location

407 4TH St
Newport, TN 37821-3755

Mailing address

407 4TH St
Newport, TN 37821-3755
Phone (423) 623-6240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181016002984 WV Practitioner - Family Practice 3375845167 Reassigns benefits to 2 organizations
I20231012001466 TN Practitioner - Family Practice 3375845167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians
Healthstar Physicians PCGroup PAC ID 5890690978, 89 clinicians
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

3106 Circle Dr
White Pine, TN 37890-3306
Phone (865) 674-7454

407 4TH St
Newport, TN 37821-3755
Phone (423) 623-6240

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians Inc. Family Medicine Current Accepting new patients
Healthstar Physicians, P.C. Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
University Healthcare Physicians Inc CurrentSince Aug 5, 2018 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 23, 2021 Accepting new patients
University Healthcare Physicians, Inc. Family Medicine CurrentSince Aug 5, 2018 Accepting new patients
East Mountain Health Physicians, Inc. CurrentSince Nov 23, 2021 Accepting new patients
Healthstar Physicians PC CurrentSince Oct 1, 2023 Accepting new patients
East Tennessee Primary Care Associates Family Medicine Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

657 E Broadway Blvd
Ste C
Jefferson Cty, TN 37760
Phone (423) 586-1717

420 W Morris Blvd
Ste 400A
Morristown, TN 37813
Phone (423) 318-6617

420 W Morris Blvd
Ste 400C
Morristown, TN 37813
Phone (423) 586-0443

407 4th St
Newport, TN 37821
Phone (423) 623-6240

220 Campus Blvd
Ste 100
Winchester, VA 22601

171 Taylor St
Harpers Ferry, WV 25425
Phone (304) 535-6343

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

120 Campus Dr
Ste 101
Martinsburg, WV 25404
Phone (681) 247-1250

2000 Foundation Way
Ste 3100
Martinsburg, WV 25401
Phone (304) 260-1436

61 Campus Dr
Ste 106
Martinsburg, WV 25404
Phone (304) 274-2273

97 Administrative Dr
Martinsburg, WV 25404
Phone (304) 350-3200

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: wayne.berry.1@3525.direct.athenahealth.com

Organizations & group practices 10

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1508244435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 4TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213755",
            "telephone_number": "423-623-6240",
            "fax_number": "423-623-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 4TH ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213755",
            "telephone_number": "423-623-6240",
            "fax_number": "423-623-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "WAYNE",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "28263",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "28253",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101273638",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "67624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.