WAYDE JENNINGS WASHBURN (NPI# 1437448362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437448362 |
| Entity Type | Individual |
| Full Name | WAYDE JENNINGS WASHBURN |
| Credential | CAC II, NCAC I |
| Practice Address |
100 Smith St Ste 1 Lagrange GA 30240-2780 |
| Practice Telephone | 7065944735 |
| Practice Fax Number | 7062434701 |
| Mailing Telephone | 7065944735 |
| Mailing Fax Number | 7062434701 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2014-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
012692 | GA | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
0858 | GA | Behavioral Health & Social Service Providers |
| Street Address |
100 SMITH ST STE 1 |
| City | LAGRANGE |
| State | GA |
| Zip Code | 30240-2780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871819458 | Kathryn J Hill | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240 | 2010-04-08 |
| 1376022772 | Center for Hope & Healing, LLC | Counselor | 100 Smith St Ste 1, Lagrange, GA 30240-2780 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598223844 | Urgencare, LLC | Clinic/Center | 2169 West Point Road, Suite 105, Lagrange, GA 30240 | 2019-03-06 |
| 1679075527 | Georgia Pain and Spine Care, Inc | Pain Medicine | 303 Smith St Fl 2, Lagrange, GA 30240 | 2018-03-07 |
| 1629463500 | Quoc Vinh Ngo | Emergency Medicine | Wellstar West Georgia Medical Center, 1504 Vernon Road, Lagrange, GA 30240 | 2015-03-30 |
| 1770913964 | Dell H Lawson | Counselor | 300 Medical Dr. Ste 705., Lagrange, GA 30240 | 2013-11-25 |
| 1629418793 | Mortar & Pestle, LLC | Pharmacy | 205 Vernon Street, Lagrange, GA 30240 | 2013-07-03 |
| 1336582329 | Weredeselam Menna Olango | Psychiatry & Neurology | 303 Medical Dr Ste 401, Lagrange, GA 30240 | 2013-04-10 |
| 1720333743 | Mortar and Pestle, LLC | Pharmacy | 300 Mooty Bridge Road, Lagrange, GA 30240 | 2012-07-16 |
| 1366768459 | Karin Taylor | Physical Medicine & Rehabilitation | 1600 Vernon Rd Ste A, Lagrange, GA 30240 | 2010-04-14 |
| 1285802751 | Air Evac Ems, Inc. | Ambulance | 455 Aerotron Pkwy, Lagrange, GA 30240 | 2008-02-18 |
| 1114129343 | American Dental of Lagrange, LLC | Dentist | 313 Mooty Bridge Road, Lagrange, GA 30240 | 2007-06-01 |
| Find all providers in zip 30240 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861905622 | Linda Mersch | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2017-11-14 |
| 1437527082 | Tanger Lee Jones | Counselor | 197 Brook Meadow Lane, Lagrange, NC 28551 | 2015-09-11 |
| 1194950857 | Shannon K. Dunlap | Counselor | 610 Ridley Ave, Lagrange, GA 30240-2236 | 2009-05-26 |
| 1306903521 | Kathleen Anne Dowling | Counselor | 313 W Madison St, Lagrange, KY 40031-1431 | 2007-01-03 |
| 1740887389 | Kyle Abernathy | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2020-10-07 |
| 1881151769 | Katherine Amanda Parks | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2019-02-27 |
| 1073081220 | The Veal Group, LLC | Counselor | 401 Ridley Ave Ste C, Lagrange, GA 30240-2267 | 2018-11-06 |
| 1437646064 | Konrad Deiss | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-19 |
| 1760979942 | Saysha Buchanan | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2018-04-13 |
| 1417460270 | Sherri Afolabi | Counselor | 229 S Davis Rd Ste 900, Lagrange, GA 30241-2609 | 2017-11-14 |
| Find all providers in LAGRANGE | ||||
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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.