Active NPI
Wayne M Woodbury, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Jonesborough, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 24642
- Practice address
- 435 Cherokee Mountain Rd
Jonesborough, TN 37659-6637 - Phone
- (912) 596-2341
- NPI assigned
- Oct 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 042978 | GA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 8397828-1205 | UT | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 24642 | TN | Primary |
Addresses
Primary practice location
435 Cherokee Mountain Rd
Jonesborough, TN 37659-6637
Mailing address
435 Cherokee Mountain Rd
Jonesborough, TN 37659-6637
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 552387 | Other | GA | WELLCARE MEDICAID & MEDICARE |
| G42978 | Medicaid | SC | |
| Q010272 | Medicaid | TN | |
| 000729385C | Medicaid | GA | |
| 01352928 | Other | AMERIGROUP | |
| 000729385A | Medicaid | GA | |
| 000729385D | Medicaid | GA | |
| P00795760 | Other | GA | RR MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Medical College of Wisconsin, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
316 Marketplace Dr
Suite 20
Johnson City, TN 37604-2596
Phone (423) 794-5500
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042978 | GA | MD | Physical Medicine & Rehabilitation Physician |
| 8397828-1205 | UT | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Franklin Healthcare Associates PLLC | Current | Accepting new patients | |
| Center for Advanced Pain Management, LLC | Past | Accepting new patients |
Locations
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
316 Marketplace Blvd
Ste 20
Johnson City, TN 37604
Phone (423) 794-5500
215 E Springbrook Dr
Johnson City, TN 37601
Phone (423) 530-7900
Interoperability endpoints
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
-
- Specialist
- Savannah, GA
- NPI 1720197791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1770572893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CHEROKEE MOUNTAIN RD",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376596637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CHEROKEE MOUNTAIN RD",
"city": "JONESBOROUGH",
"state": "TN",
"postal_code": "376596637",
"telephone_number": "912-596-2341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODBURY",
"first_name": "WAYNE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-20",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "GA",
"license": "042978",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "UT",
"license": "8397828-1205",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TN",
"license": "24642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE MEDICAID & MEDICARE",
"identifier": "552387",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G42978",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q010272",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000729385C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01352928",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000729385A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000729385D",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00795760",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesborough, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.