Thomas C Waynick, M.DIV. M.S. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

65 Issued in LA

Practice address

Family Life Chaplain
Building 2606, Dixie Road
Fort Benning, GA 31905

Phone

(706) 545-2017

Fax

(706) 545-5254

NPI assigned

Sep 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Pastoral Institute, IncGroup PAC ID 2062494453, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: twaynick@pastoralinst.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pastoral Institute, Inc

  • Professional Counselor
  • Columbus, GA
  • NPI 1477605707

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD
• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1265626063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FAMILY LIFE CHAPLAIN",
            "address_2": "BUILDING 2606, DIXIE ROAD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-545-2017",
            "fax_number": "706-545-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FAMILY LIFE CHAPLAIN",
            "address_2": "BUILDING 2606, DIXIE ROAD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "31905",
            "telephone_number": "706-545-2017",
            "fax_number": "706-545-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYNICK",
        "first_name": "THOMAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.DIV. M.S. LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Shi Chung Wang, CRNA
• Stephen Wayne Ward, PA-C
• Kyle Christopher Warren, MD
• Dr. Corinthians Washington, DO, ED.D., CDCA
• Jason Washington, CRNA
• Lewis R Wayt, D.D.S.
• Donna Garrett Wells, DMD
• Matthew Eric Wells, DO
• Kimberly Marie Whitbeck, RD
• Marteia White, LCSW

• Marriage & Family Therapist in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.