Wayne Provision

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WAYNE PROVISION

Practice address

950 Andrew Jackson Drive
Waynesboro, TN 38485

Phone

(931) 722-6366

NPI assigned

Jun 28, 2017

Last updated

Sep 16, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Scott Crews

Title

Executive Director

Phone

(931) 722-6366

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Jordahl, MS

  • Mental Health Counselor
  • Waynesboro, TN
  • NPI 1174161558
  NPD

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1760903066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 873",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384850873",
            "telephone_number": "931-722-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 ANDREW JACKSON DRIVE",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "38485",
            "telephone_number": "931-722-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE PROVISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-28",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "CREWS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-722-6366"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Care Nursing Home
• Wayne County Assisted Living Facility
• Wayne County Nursing Home
• Wayne County Senior Citizens
• Wayne Halfway House Inc.
• Waynesboro Clinic, LLC
• Waynesboro Clinic, PC
• Waynesboro Emergency Services II, LLC
• Waynesboro Healthcare, LLC (Waynesboro Health and Rehabilitation Center)
• Waynesboro Healthcare, LLC (Wayne Care Nursing Home)

• Community/Behavioral Health Agency in Waynesboro, TN
• Providers in Waynesboro, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.