Active NPI
Robert H Payne, M.D.
- Psychiatry Physician
- Charleston, SC
National Provider Identifier
1013060573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6767
- Practice address
- 4 Carriage LN
Suite 100
Charleston, SC 29407-6048 - Phone
- (843) 763-2222
- Fax
- (843) 766-5705
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6767 | SC | |
| Psychiatry Physician | 2084P0800X | 6767 | SC | Primary |
Addresses
Primary practice location
4 Carriage LN
Suite 100
Charleston, SC 29407-6048
Mailing address
4 Carriage LN
Suite 100
Charleston, SC 29407-6048
Phone (843) 763-2222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 067670 | Medicaid | SC | |
| P00443329 | Other | SC | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical University of South Carolina College of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 Maxey St
Walterboro, SC 29488-2546
Phone (843) 569-7664
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston Family Center, LLC | Marriage & Family Therapist | Current | Accepting new patients |
| Barrier Islands Psychiatry P a | Single Specialty | Past | Accepting new patients |
| Charleston Family Center, LLC in Walterboro | Single Specialty | Past | Accepting new patients |
Locations
1620 Ashley River Rd
Charleston, SC 29407
Phone (843) 556-8177
4 Carriage Ln
Ste 100
Charleston, SC 29407
Phone (843) 763-2222
Organizations & group practices 3
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.
-
- Marriage & Family Therapist
- Charleston, SC
- NPI 1619939873
-
- Mental Health Counselor
- Walterboro, SC
- NPI 1578789491
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1013060573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 CARRIAGE LN",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076048",
"telephone_number": "843-763-2222",
"fax_number": "843-766-5705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 CARRIAGE LN",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294076048",
"telephone_number": "843-763-2222",
"fax_number": "843-766-5705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "6767",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "SC",
"license": "6767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "067670",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00443329",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.