WAYNE PROVISION (NPI# 1760903066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760903066 |
| Entity Type | Organization |
| Organization Name | WAYNE PROVISION |
| Practice Address |
950 Andrew Jackson Drive Waynesboro TN 38485 |
| Mailing Address |
Po Box 873 Waynesboro TN 38485-0873 |
| Practice Telephone | 9317226366 |
| Mailing Telephone | 9317226366 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2020-09-16 |
| Authorized Official Name | JASON SCOTT CREWS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9317226366 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
950 ANDREW JACKSON DRIVE |
| City | WAYNESBORO |
| State | TN |
| Zip Code | 38485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161558 | Barbara Jordahl | Counselor | 950 Andrew Jackson Drive, Waynesboro, TN 38485 | 2019-12-16 |
| 1144870379 | Bruce Walker | Counselor | 950 Andrew Jackson Drive, Waynesboro, TN 38485-3848 | 2019-09-19 |
| 1417507310 | Rachel Walton | Counselor | 950 Andrew Jackson Drive, Waynesboro, TN 38485-3848 | 2019-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407387772 | Nelda Prater | Counselor | 942 Andrew Jackson Dr., Waynesboro, TN 38485 | 2017-03-27 |
| 1427479328 | Tennessee Pain Management Associates | Pain Medicine | 530 Us Hwy 64, Suite 5, Waynesboro, TN 38485 | 2013-12-18 |
| 1982031415 | Donna J Casteel | Nurse Practitioner | 107 Jv Mangubat Drive, Waynesboro, TN 38485 | 2013-09-30 |
| 1316371222 | Wes Yeiser Donaldson | Physical Therapy Assistant | 183 Long Vue, Waynesboro, TN 38485 | 2013-08-27 |
| 1407096829 | Brian Paul Coggins | Physical Therapist | 514 South High St, Waynesboro, TN 38485 | 2009-02-25 |
| 1467691600 | At Home Meds, LLC | Durable Medical Equipment & Medical Supplies | 1126 B Collinwood Highway, Waynesboro, TN 38485 | 2009-02-11 |
| 1730375908 | Best Medical Inc. | Durable Medical Equipment & Medical Supplies | 905 Andrew Jackson Drive, Suite C, Waynesboro, TN 38485 | 2007-09-20 |
| 1295933661 | Air Evac Ems Inc. | Ambulance | 915 Andrew Jackson Drive, Waynesboro, TN 38485 | 2007-07-06 |
| 1871650895 | Mrh Dba Wmc | Nursing Facility/Intermediate Care Facility | 505 South High Street, Waynesboro, TN 38485 | 2007-01-02 |
| 1861504086 | William Earl Springer | Dentist | 211 South High Street, Waynesboro, TN 38485 | 2006-09-01 |
| Find all providers in zip 38485 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215569066 | Family Preservation Services, LLC. | Community/Behavioral Health | 840 King Ave, Waynesboro, VA 22980-2723 | 2020-02-10 |
| 1104458959 | Family Preservation Services, LLC. | Community/Behavioral Health | 548 Rosser Ave, Waynesboro, VA 22980-3561 | 2020-02-10 |
| 1295367043 | Family Preservation Services, LLC. | Community/Behavioral Health | 125 N Bayard Ave, Waynesboro, VA 22980-5156 | 2020-02-10 |
| 1427680479 | Family Preservation Services, LLC. | Community/Behavioral Health | 1301 Rockfish Rd, Waynesboro, VA 22980-6308 | 2020-02-07 |
| 1205357522 | Community Service Board of Middle Georgia | Community/Behavioral Health | 762 Old Millen Hwy, Waynesboro, GA 30830-8808 | 2017-06-28 |
| 1366897472 | Family Preservation Services, Inc | Community/Behavioral Health | 937 Fir St, Waynesboro, VA 22980-3753 | 2016-04-26 |
| 1790168847 | Center New Beginnings | Community/Behavioral Health | 727 W 6th St, Waynesboro, GA 30830-4407 | 2015-07-08 |
| 1902165905 | Active Living LLC | Community/Behavioral Health | 424 Kirby Ave, Waynesboro, VA 22980-3189 | 2012-05-10 |
| 1194055046 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 566 Hwy 25 S, Waynesboro, GA 30830-5545 | 2009-12-28 |
| 1538214374 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 292 W 4th St, Waynesboro, GA 30830-1559 | 2007-01-24 |
| Find all providers in WAYNESBORO | ||||
| City | WAYNESBORO |
| Zip Code | 38485 |
Please comment or provide details below to improve the information on WAYNE PROVISION.
| 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.