NPIMap

Organization Active NPI

Wayne General Hospital

Doing business as Waynesboro Family Medicine & Obstetrics-NRH

  • Family Medicine Physician
  • Waynesboro, MS
National Provider Identifier
1861702383
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WAYNE GENERAL HOSPITAL
Doing business as
Waynesboro Family Medicine & Obstetrics-NRH
Practice address
951 Matthew Dr
Suite a
Waynesboro, MS 39367-2565
Phone
(601) 735-2401
Fax
(601) 735-5205
NPI assigned
Oct 18, 2010
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
WAYNE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mrs. Kathy Waddell
Title
Administrator
Phone
(601) 735-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

951 Matthew Dr
Suite a
Waynesboro, MS 39367-2565

Mailing address

951 Matthew Dr
Suite a
Waynesboro, MS 39367-2565
Phone (601) 735-2401

Other names 1

  • Waynesboro Family Medicine & Obstetrics-NRH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wayne General Ambulance14 organizations share this tax ID, including this one
Part of
Wayne General Ambulance

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": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1861702383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 MATTHEW DR",
            "address_2": "SUITE A",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672565",
            "telephone_number": "601-735-2401",
            "fax_number": "601-735-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 MATTHEW DR",
            "address_2": "SUITE A",
            "city": "WAYNESBORO",
            "state": "MS",
            "postal_code": "393672565",
            "telephone_number": "601-735-2401",
            "fax_number": "601-735-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAYNE GENERAL HOSPITAL",
        "enumeration_date": "2010-10-18",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-735-7100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waynesboro Family Medicine & Obstetrics-NRH",
            "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 May 20, 2015; 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.