Wayde Jennings Washburn, CAC II, NCAC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0858 Issued in GA

Practice address

100 Smith St Ste 1
Lagrange, GA 30240-2780

Phone

(706) 594-4735

Fax

(706) 243-4701

NPI assigned

Mar 31, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398816000000",
    "number": "1437448362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SMITH ST STE 1",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402780",
            "telephone_number": "706-594-4735",
            "fax_number": "706-243-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SMITH ST STE 1",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402780",
            "telephone_number": "706-594-4735",
            "fax_number": "706-243-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "WAYDE",
        "middle_name": "JENNINGS",
        "credential": "CAC II, NCAC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-31",
        "last_updated": "2014-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "0858",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "012692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Antonio Ware, NEMT
• Amy Melissa Ware, PP
• Laqua'Sha Monique Warren, MSN, APRN, FNP-C
• John Paul Warrick Jr., DPM
• Ryer Bionca Warrior, BSN, RN
• Ariauna C. Washington, MS, LAT, ATC, SMTC
• Bonnie Adams Watkins, RPH
• Arielle Watson, NP
• We Care Health Essentials
• We Care Private Home Care LLC

• Addiction (Substance Use Disorder) Counselor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.