Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Wayne Berry III, MD

Individual provider Emergency Medicine Physician · NPI 1508244435

Dr. Wayne Berry III, MD is a Family Practice in Newport, Tennessee. Qualified in 2015, 11 years ago. Practices with Champion Physical Therapy LLC Halls, a 280-clinician group and accepts Medicare assignment. Licensed in Tennessee, Virginia and West Virginia.

Years since qualifying
11
Licensed in
TN, VA, WV
In the registry since
2015
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

407 4th St
Newport, TN 37821-3755
Phone: (423) 623-6240
Fax: (423) 623-0102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 67624 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 28263 (WV)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101273638 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 28253 (WV)

Record details

NPI number1508244435
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2015
Last updated in NPPESOctober 25, 2023
Certification dateSeptember 16, 2023
Mailing address407 4th St, Newport, TN 37821-3755

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Champion Physical Therapy Llc Halls — 280 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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