Lakyn Michelle Payne, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PT2020-020 Issued in AR

Practice address

812 Oak St
Conway, AR 72032-4408

Phone

(501) 327-7100

Fax

(501) 368-0123

NPI assigned

Mar 6, 2020

Last updated

Apr 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lakyn Michelle Phillips Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Medical Clinic Arkansas LLCGroup PAC ID 5890077093, 143 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 39)

Interoperability endpoints

• Direct secure messaging: lakyn.payne.1@21087.direct.athenahealth.com
• Direct secure messaging: lakyn.payne.1@22155.direct.athenahealth.com
• Direct secure messaging: lakyn.payne.1@22235.direct.athenahealth.com
• Direct secure messaging: lakyn.payne.1@2424.direct.athenahealth.com
• Direct secure messaging: lakyn.payne.1@25499.direct.athenahealth.com
• Direct secure messaging: lakyn.payne.1@29938.direct.athenahealth.com

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

• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1578007647
  Medicare reassignment Care Compare group NPD (past)
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Weiner, AR
  • NPI 1114578929
  Medicare reassignment
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Forrest City, AR
  • NPI 1104538388
  NPD
• Access Medical Clinic Arkansas LLC

  • Rural Health Clinic/Center
  • Camden, AR
  • NPI 1508563362
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Rural Health Clinic/Center
  • Perryville, AR
  • NPI 1124539648
  NPD
• Bradley Bibb MD PLLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Bono, AR
  • NPI 1639562432
  NPD
• Access Medical Clinic Arkansas LTC LLC

  • Family Medicine Physician
  • Springfield, MO
  • NPI 1841154846
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• Bradley Bibb MD PLLC

  dba access medical clinic

  • Rural Health Clinic/Center
  • Marked Tree, AR
  • NPI 1831595057
  NPD (past)

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

{
    "created_epoch": "1583452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1043845431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S MAIN ST STE 100",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437801",
            "telephone_number": "501-368-0132",
            "fax_number": "501-368-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 OAK ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324408",
            "telephone_number": "501-327-7100",
            "fax_number": "501-368-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LAKYN",
        "middle_name": "MICHELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-06",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PT2020-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAKYN",
            "last_name": "PHILLIPS",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Trentcy Peaks
• Chelsea Pearcy, OT

• Physician Assistant in Conway, AR
• Providers in Conway, AR by specialty
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.