Wayne General Surgery Clinic - Medicare Primary Care in Waynesboro, MS

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Wayne General Surgery Clinic is a medicare enrolled primary clinic (Clinic/center) in Waynesboro, Mississippi. The current practice location for Wayne General Surgery Clinic is 940 Matthew Dr, Suite 5, Waynesboro, Mississippi. For appointments, you can reach them via phone at (601) 735-7285. The mailing address for Wayne General Surgery Clinic is Po Box 1249, Waynesboro, Mississippi and phone number is (601) 735-7285.

Wayne General Surgery Clinic is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1407233612. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 735-7285.

Contact Information

Wayne General Surgery Clinic
940 Matthew Dr
Suite 5
Waynesboro
MS 39367-2522
(601) 735-7285
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameWayne General Surgery Clinic
SpecialityClinic/Center
Location940 Matthew Dr, Waynesboro, Mississippi
Authorized Official Name and PositionDavid Andrew Porter (CEO)
Authorized Official Contact6017355151
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Wayne General Surgery Clinic
Po Box 1249
Waynesboro
MS 39367-1249

Ph: (601) 735-7285		Wayne General Surgery Clinic
940 Matthew Dr
Suite 5
Waynesboro
MS 39367-2522

Ph: (601) 735-7285

NPI Details:

NPI Number1407233612
Provider Enumeration Date04/27/2015
Last Update Date03/25/2026
Certification Date03/25/2026

Medicare PECOS Information:

Medicare PECOS PAC ID2668457581
Medicare Enrollment IDO20150720001312

Medical Identifiers

Medical identifiers for Wayne General Surgery Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407233612NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Wayne General Surgery Clinic acts as a billing entity for following providers:
Provider NameFrancesca a Wilkins
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1801061486
PECOS PAC ID: 1456490929
Enrollment ID: I20091124000077
Provider NameNathan C Darby
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1649470147
PECOS PAC ID: 6204028889
Enrollment ID: I20101014000827
Provider NameJeremy B Wells
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1144517822
PECOS PAC ID: 4688817232
Enrollment ID: I20130829000160
Provider NameLepercival Griffin
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558688416
PECOS PAC ID: 2365677762
Enrollment ID: I20131018001731
Provider NameShannon C Weathers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871927343
PECOS PAC ID: 0749418192
Enrollment ID: I20140111000012
Provider NameJasmine Campbell Hollinger
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1265729719
PECOS PAC ID: 4385952373
Enrollment ID: I20150924000731
Provider NameBrandi L Robinson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114399375
PECOS PAC ID: 5799085254
Enrollment ID: I20151205000038
Provider NameJessica Mccallister Tullos
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1306254255
PECOS PAC ID: 8729387139
Enrollment ID: I20170203000317
Provider NameChad E Cooley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1851731277
PECOS PAC ID: 0143544007
Enrollment ID: I20170711003661
Provider NameMorgan Danielle Jones
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619516911
PECOS PAC ID: 8224464318
Enrollment ID: I20200210000557
Provider NameLindsay Luke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912676313
PECOS PAC ID: 2264839794
Enrollment ID: I20210924002082
Provider NameKessa Mauras
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1326363839
PECOS PAC ID: 6305016122
Enrollment ID: I20210924003026
Provider NameKelsey Elyse Creel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801540869
PECOS PAC ID: 6002201969
Enrollment ID: I20220312000006
Provider NameMuhammed Bilal
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1275054579
PECOS PAC ID: 4981071776
Enrollment ID: I20221108002031
Provider NameWilliam Ross
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1194388454
PECOS PAC ID: 8527494129
Enrollment ID: I20230907003225
Provider NameMichelle Wheeler
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649739814
PECOS PAC ID: 9830533744
Enrollment ID: I20240220000542
Provider NameBenjamin Paul Stevens
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1750842258
PECOS PAC ID: 7012248081
Enrollment ID: I20240712001598
Provider NameShelley May Brand
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1154702827
PECOS PAC ID: 0941551360
Enrollment ID: I20251210003161

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.