Active NPI
Wayne David Durbin, PA-C
- Medical Physician Assistant
- Kingsport, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 834
- Practice address
- 4600 Fort Henry Dr
Kingsport, TN 37663-2617 - Phone
- (423) 224-3950
- NPI assigned
- Oct 3, 2006
- Last updated
- Aug 20, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 834 | TN | Primary |
Addresses
Primary practice location
4600 Fort Henry Dr
Kingsport, TN 37663-2617
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565
Other practice location 1
396 N Spring St
Sparta, TN 38583-1327
Phone (931) 836-2228
Other practice location 2
2686 W State St
Bristol, TN 37620-1817
Phone (423) 844-0026
Other practice location 3
438 E Vann Rd Ste 301
Greeneville, TN 37743-7202
Phone (423) 636-9828
Other practice location 4
111 W Stone Dr Ste 110
Kingsport, TN 37660-6027
Phone (423) 224-3701
Other practice location 5
405 Scenic Dr Ste A
Rogersville, TN 37857-2441
Phone (423) 921-3490
Other practice location 6
1497 W Elk Ave Ste 11
Elizabethton, TN 37643-2896
Phone (423) 542-8929
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 W Stone Dr
Kingsport, TN 37660-6027
405 Scenic Dr
Rogersville, TN 37857-2441
Phone (423) 272-2111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 834 | TN | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Current | Accepting new patients | |
| Crossroads Urgent Care PLLC | Current | Accepting new patients | |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients |
Locations
1 Medical Park Blvd
Ste 300E
Bristol, TN 37620
Phone (423) 245-3161
2686 W State St
Bristol, TN 37620
Phone (423) 844-0026
438 E Vann Rd
Ste 301
Greeneville, TN 37743
Phone (423) 278-1650
1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565
111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197
111 W Stone Dr
Ste 110
Kingsport, TN 37660
Phone (423) 224-3701
2636 W Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 200-3225
2445 Memorial Blvd
Ste C
Murfreesboro, TN 37129
Phone (615) 217-6900
30 Burton Hills Blvd
Ste 175
Nashville, TN 37215
Phone (615) 988-2014
405 Scenic Dr
Ste A
Rogersville, TN 37857
Phone (423) 272-2111
Interoperability endpoints
- wdurbin317842@balladhealth.medalliesdirect.net
Organizations & group practices 6
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.
-
dba Ballad Health Medical Associates
- Pulmonary Disease Physician
- Bristol, TN
- NPI 1780986257
-
dba Urgent Team
- Family Medicine Physician
- Murfreesboro, TN
- NPI 1366644361
-
dba Urgent Team
- Rural Health Clinic/Center
- South Pittsburg, TN
- NPI 1427781129
-
- General Acute Care Hospital
- Kingsport, TN
- NPI 1760405849
-
dba Ballad Health Medical Associates
- Psychiatry Physician
- Johnson City, TN
- NPI 1275393522
-
dba Ballad Health Medical Associates
- Internal Medicine Physician
- Bristol, TN
- NPI 1558812198
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Indian Path Community Hospital
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1801981345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 W OAKLAND AVE STE 310",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042192",
"telephone_number": "423-302-6565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 FORT HENRY DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376632617",
"telephone_number": "423-224-3950"
}
],
"practiceLocations": [
{
"address_1": "396 N Spring St",
"address_purpose": "LOCATION",
"city": "Sparta",
"state": "TN",
"postal_code": "385831327",
"country_code": "US",
"telephone_number": "931-836-2228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2686 W State St",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376201817",
"country_code": "US",
"telephone_number": "423-844-0026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "438 E Vann Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377437202",
"country_code": "US",
"telephone_number": "423-636-9828",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 W Stone Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Kingsport",
"state": "TN",
"postal_code": "376606027",
"country_code": "US",
"telephone_number": "423-224-3701",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "405 Scenic Dr Ste A",
"address_purpose": "LOCATION",
"city": "Rogersville",
"state": "TN",
"postal_code": "378572441",
"country_code": "US",
"telephone_number": "423-921-3490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1497 W Elk Ave Ste 11",
"address_purpose": "LOCATION",
"city": "Elizabethton",
"state": "TN",
"postal_code": "376432896",
"country_code": "US",
"telephone_number": "423-542-8929",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURBIN",
"first_name": "WAYNE",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.