MANCEL WAYNE WAKHAM DO NPI 1073568218

NPI Information

  • NPI: 1073568218
  • Provider Name: MANCEL WAYNE WAKHAM, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2497 S. ROANE ST.
    SUITE 110
    HARRIMAN, TN
    ZIP 37748
  • Phone: (865) 230-5698

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NPI Details

Mancel Wayne Wakham, DO is a family medicine in Harriman, TN with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mancel Wayne Wakham, DO NPI is 1073568218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:1990

The provider's business location address is:

2497 S. ROANE ST.
SUITE 110
HARRIMAN, TN
ZIP 37748
Phone: (865) 230-5698

The NPI 1073568218 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.

  • Follow-up nursing facility visit per day, typically 15 minutes (HCPCS:99308)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)

The enumeration date for this NPI number is 5/24/2006 and was last updated on 7/8/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine982TENNESSEEYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TN0101OTHERJOHN DEERE HEALTHCARE
2Q036092MEDICAIDTENNESSEE
3P00114578OTHERMEDICARE TRAVELERS
40140287OTHERUNITED HEALTHCARE
54091772OTHERTENNESSEEBLUE CROSS BLUE SHIELD

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: 3/30/2025

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