Donna Jane Waddell, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

13942 Issued in TN

Practice address

9785 Highway 79 S
Henry, TN 38231-3613

Phone

(731) 243-1450

Fax

(731) 243-1000

NPI assigned

Feb 25, 2009

Last updated

May 11, 2024By the provider in NPPES

Sex

Female

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 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waddell Clinic Primary Care and Aesthetics PLLCGroup PAC ID 2769835164, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Memorial Home Care Home health agency, Huntingdon, TN, CCN 447444
• Amedisys Home Health Care Home health agency, Jackson, TN, CCN 447278
• Tennessee Quality Care - Home Health Home health agency, Parsons, TN, CCN 447402
• Baptist Memorial Hospital - Carroll County Hospital, Huntingdon, TN, CCN 440016
• West Tennessee Healthcare Henry County Hospital Hospital, Paris, TN, CCN 440132
• Jackson-Madison County General Hospital Hospital, Jackson, TN, CCN 440002

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: donna.waddell.1@30275.direct.athenahealth.com
• Direct secure messaging: dwaddell609785@direct.bmhcc.org

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.

• Waddell Clinic Primary Care & Aesthetics PLLC

  • Family Medicine Physician
  • Henry, TN
  • NPI 1851164560
  Medicare reassignment Care Compare group NPD Authorized official
• Christian Family Medicine, LLC

  dba Christian Family Medicine and Pediatrics

  • Family Medicine Physician
  • Ripley, TN
  • NPI 1043252620
  Medicare reassignment NPD
• McKenzie Medical Center PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Bruceton, TN
  • NPI 1245401231

  Family

  NPD (past)
• McKenzie Medical Center, PC

  dba Hometown Health Clinic

  • Rural Health Clinic/Center
  • Gleason, TN
  • NPI 1225083991

  Family

  NPD (past)
• West Tennessee Eye Associates PC

  dba The Hughes Eye Center

  • Corneal and Contact Management Optometrist
  • Jackson, TN
  • NPI 1811054232
  NPD (past)

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

• Baptist Memorial Hospital-Huntingdon

  dba Baptist Memorial Hospital - Carroll County

  • General Acute Care Hospital
  • Huntingdon, TN
  • NPI 1710941356
  Care Compare affiliation
• HHC, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Jackson, TN
  • NPI 1851349559
  Care Compare affiliation
• Jackson Madison County General Hospital

  • General Acute Care Hospital
  • Jackson, TN
  • NPI 1093705428
  Care Compare affiliation
• LHCG Xciv, LLC

  dba Baptist Memorial Home Care & Hospice

  • Home Health Agency
  • Huntingdon, TN
  • NPI 1568997252
  Care Compare affiliation
• Tennessee Valley Home Care, LLC

  dba Tennessee Quality Care - Home Health Central

  • Home Health Agency
  • Parsons, TN
  • NPI 1396702536
  Care Compare affiliation
• West Tennessee Healthcare Henry County

  dba West Tennessee Healthcare County Hospital

  • General Acute Care Hospital
  • Paris, TN
  • NPI 1497750244
  Care Compare affiliation

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1871733162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9785 HIGHWAY 79 S",
            "city": "HENRY",
            "state": "TN",
            "postal_code": "382313613",
            "telephone_number": "731-243-1450",
            "fax_number": "731-243-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9785 HIGHWAY 79 S",
            "city": "HENRY",
            "state": "TN",
            "postal_code": "382313613",
            "telephone_number": "731-243-1450",
            "fax_number": "731-243-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mc Kenzie",
            "state": "TN",
            "postal_code": "382011637",
            "country_code": "US",
            "telephone_number": "731-393-8111",
            "fax_number": "731-393-8833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "DONNA",
        "middle_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "13942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "13942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "3380640",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3380640",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Markie Brooke Anderson
• Casey Crosser, ATC,CSCS
• Janson David Davis, PA-C
• Pamala Milton, COTA
• Waddell Clinic Primary Care & Aesthetics PLLC

• Family Nurse Practitioner in Henry, TN
• Providers in Henry, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.