Active NPI
James Nathan Payne, NP-C
- Family Nurse Practitioner
- Gautier, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R865473
- Practice address
- 5090 Gautier Vancleave Rd
Gautier, MS 39553-4803 - Phone
- (228) 522-6700
- Fax
- (228) 522-3383
- NPI assigned
- Mar 27, 2015
- Last updated
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R865473 | MS | Primary |
Addresses
Primary practice location
5090 Gautier Vancleave Rd
Gautier, MS 39553-4803
Mailing address
1604 Beach View Drive
Ocean Springs, MS 39564
Phone (228) 219-6706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
921 Cedar Lake Rd
Suite E
Biloxi, MS 39532-2126
Phone (228) 396-3945
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R865473 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Family Medical Center Inc. | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Memorial Hospital at Gulfport | Current | Accepting new patients | |
| Physician Services of the Gulf Coast LLC | Current | Accepting new patients | |
| Hancock Emergency Group LLC | Current | Accepting new patients |
Locations
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
921 Cedar Lake Rd
Ste E
Biloxi, MS 39532
Phone (228) 396-3945
1018 Cowan Rd
Gulfport, MS 39507
Phone (228) 265-7945
1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4856
4500 13th St
Gulfport, MS 39501
Phone (228) 236-3872
6652 U S Highway 98
Hattiesburg, MS 39402
1113 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 300-5945
8288 Firetower Rd
Ste F
Pass Christian, MS 39571
Phone (228) 222-8900
Interoperability endpoints
- james.payne.1@24353.direct.athenahealth.com
- jpayne@direct.mhg.com
Organizations & group practices 7
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.
-
dba AlphaCare Urgent Care
- Urgent Care Clinic/Center
- Biloxi, MS
- NPI 1366922023
-
- Emergency Medicine Physician
- Bay St Louis, MS
- NPI 1295142396
-
- Urology Physician
- Gulfport, MS
- NPI 1093142598
-
- Clinic/Center
- Pascagoula, MS
- NPI 1356478564
-
dba Memorial Surgery Center Cedar Lake
- General Acute Care Hospital
- Biloxi, MS
- NPI 1215546635
-
- Cognitive & Behavioral Psychologist
- Gulfport, MS
- NPI 1932122017
-
dba Memorial Emergency Physicians
- Emergency Medicine Physician
- Gulfport, MS
- NPI 1962780379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427414400000",
"number": "1063806933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 BEACH VIEW DRIVE",
"city": "OCEAN SPRINGS",
"state": "MS",
"postal_code": "39564",
"telephone_number": "228-219-6706",
"fax_number": "228-522-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5090 GAUTIER VANCLEAVE RD",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395534803",
"telephone_number": "228-522-6700",
"fax_number": "228-522-3383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JAMES",
"middle_name": "NATHAN",
"name_prefix": "Mr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2015-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R865473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gautier, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.