Provider Type Icon

WAYNE M WOODBURY MD NPI 1770572893


NPI Information

NPI: 1770572893
Provider Name: WAYNE M WOODBURY, MD
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Individual

Specialization: Pain Medicine

Organization: STATE OF FRANKLIN HEALTHCARE ASSOCIATES, PLLC

PECOS Registration: Yes

Address:
316 MARKETPLACE DR STE 20
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 794-5580
Get Directions

Wayne M Woodbury, MD is a pain medicine physical medicine rehabilitation in Johnson City, TN with 35 years of experience. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. Wayne M Woodbury, MD NPI is 1770572893. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF WISCONSIN
Graduation Year:1989

The provider's business location address is:

316 MARKETPLACE DR STE 20
JOHNSON CITY, TN
ZIP 37604-596
Phone: (423) 794-5580
Fax: (423) 232-8561

The NPI 1770572893 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injections of substances into lower or sacral spine (HCPCS:62311)
  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)
  • Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 10/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & Rehabilitation042978GEORGIANo
22081P2900XPhysical Medicine & RehabilitationPain Medicine8397828-1205UTAHNo
32081P2900XPhysical Medicine & RehabilitationPain Medicine24642TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Q010272MEDICAIDTENNESSEE
2000729385DMEDICAIDGEORGIA
3552387OTHERGEORGIAWELLCARE MEDICAID & MEDICARE
4000729385CMEDICAIDGEORGIA
501352928OTHERAMERIGROUP
6000729385AMEDICAIDGEORGIA
7G42978MEDICAIDSOUTH CAROLINA
8P00795760OTHERGEORGIARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.