MR. WAYNE WASHINGTON (NPI# 1508105875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508105875 |
| Entity Type | Individual |
| Full Name | MR. WAYNE WASHINGTON |
| Practice Address |
422 E Park Ave Valdosta GA 31602-3036 |
| Practice Telephone | 2292475374 |
| Practice Fax Number | 2292411981 |
| Mailing Telephone | 2292475374 |
| Mailing Fax Number | 2292411981 |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | CO040287 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669717898 | Wayne Anthony Washington II | Adult Companion | 1524 Morgan Ave N, Minneapolis, MN 55414 | 2012-11-28 |
| 1528552338 | Wayne Allen Washington | Counselor | 11540 Marsh Creek Rd, Clayton, CA 94517-9759 | 2018-06-15 |
| Street Address |
422 E PARK AVE |
| City | VALDOSTA |
| State | GA |
| Zip Code | 31602-3036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477198117 | Amber Michele Baugh | Behavior Technician | 2236 Bemiss Road, Valdosta, GA 31602 | 2019-11-15 |
| 1528611365 | Nishaben T. Patel | Nurse Practitioner | 3120 North Oak Street Extension, Suite B, Valdosta, GA 31602 | 2019-07-22 |
| 1427615871 | Blair Elizabeth Tomlinson | Nurse Practitioner | 2124 Lakeshore Drive, Valdosta, GA 31602 | 2019-05-21 |
| 1346704152 | Mildred Itaska Borowski | Counselor | 3790 North Highway 41, Suite A, Valdosta, GA 31602 | 2019-01-25 |
| 1962991703 | Southern Healthcare Alliance, LLC | Physical Medicine & Rehabilitation | 101-f W. Northside Drive, Valdosta, GA 31602 | 2018-05-08 |
| 1336636646 | Kaitlyn Thrift | Behavioral Analyst | 2225 Bemiss Road Suite D, Valdosta, GA 31602 | 2018-04-23 |
| 1407379845 | Lindsey Marie Richardson | Dentist | 103 W. Cranford Ave, Valdosta, GA 31602 | 2017-07-18 |
| 1962922427 | Taylor Nicole Fiveash | Nurse Practitioner | 101 W Northisde Dr, Bldg G, Valdosta, GA 31602 | 2017-06-26 |
| 1720520646 | Southern Sleepers Anesthesia LLC | Nurse Anesthetist, Certified Registered | 4120-b N. Valdosta Road, Valdosta, GA 31602 | 2016-11-09 |
| 1134670557 | Cataract and Laser Surgery Center of South Georgia, P.C. | Clinic/Center | 4120-b N. Valdosta Rd., Valdosta, GA 31602 | 2016-10-20 |
| Find all providers in zip 31602 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075117 | Alan Medford | Orthotic Fitter | 1020 Angelo Ct Ne, Atlanta, GA 30319-1042 | 2018-12-28 |
| 1376869263 | Lyvetta Walker Marshall | Orthotic Fitter | 187 Hightower Dr, Suite B, Martinez, GA 30907-8405 | 2010-04-16 |
| 1508923020 | Allison Boynton Beck | Orthotic Fitter | 156 N Main Street, Clayton, GA 30525 | 2007-01-03 |
| 1093881708 | Sheryl Avon Skipper | Orthotic Fitter | 118 S Madison St Ste 1, Thomasville, GA 31792-5400 | 2006-11-27 |
| 1750480901 | Advanced Diabetic Solutions LLC | Orthotic Fitter | 1580 Atkinson Rd, Lawrenceville, GA 30043-5600 | 2006-09-22 |
| 1356450209 | Bari F Levens | Orthotic Fitter | 1303 Dantignac Street, Suite 1000, Augusta, GA 30901-2776 | 2006-08-30 |
| 1083672695 | Melvin Dixon | Orthotic Fitter | 753 N Indian Creek Dr, Clarkston, GA 30021-2347 | 2006-05-03 |
| 1255397147 | Jeffery Dean Parson | Orthotic Fitter | 1619 John Orr Drive, Tifton, GA 31794-3640 | 2006-04-21 |
| 1821269887 | Ehteshamul Haque | Orthotic Fitter | 4820 Armour Rd, Suite A-4, Columbus, GA 31904-5296 | 2008-03-18 |
| 1366623878 | Gregory Allen Hankins | Orthotic Fitter | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-11-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.