Active NPI
Jonathan Paul Payne, MD
- Obstetrics & Gynecology Physician
- Albany, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 28408
- Practice address
- 808 13TH Ave
Albany, GA 31701-1328 - Phone
- (229) 434-7640
- Fax
- (229) 434-7647
- NPI assigned
- Nov 2, 2007
- Last updated
- Jul 10, 2024
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 28408 | AL | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 063938 | GA |
Addresses
Primary practice location
808 13TH Ave
Albany, GA 31701-1328
Mailing address
1118 Ross Clark Cir Ste 600
Dothan, AL 36301-3042
Phone (334) 793-3900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454780609A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Florida State University College of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Midland St
Ashford, AL 36312-4593
Phone (334) 899-3363
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063938 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Care Specialists PC | Single Specialty | Current | Accepting new patients |
| Phoebe Physician Group, Inc | Single Specialty | Current | Accepting new patients |
| Houston County Healthcare Authority | Single Specialty | Current | Accepting new patients |
| Women's Medical Center, PC | Single Specialty | Current | Accepting new patients |
| Houston County Healthcare Authority | Single Specialty | Current | Accepting new patients |
| Obhg Georgia, P.C. | Single Specialty | Current | Accepting new patients |
| Southwest Georgia OB-GYN, PC | Single Specialty | Current | Accepting new patients |
| Obhg Alabama, P.C. | Single Specialty | Current | Accepting new patients |
| Hospital Authority of the City of Bainbridge and Decatur County | Single Specialty | Past | Accepting new patients |
| Emcare Physician Providers, Inc. | Single Specialty | Past | Accepting new patients |
Locations
415 Midland St
Ashford, AL 36312
Phone (334) 899-3363
3686 Grandview Pkwy
Ste 800
Birmingham, AL 35243
Phone (205) 858-0900
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1118 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-8111
1118 Ross Clark Cir
Ste 600
Dothan, AL 36301
Phone (334) 793-3900
2006 Brookwood Medical Ctr Dr
Ste 600
Homewood, AL 35209
Phone (205) 397-1286
2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930
400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
409 W 4th Ave
Albany, GA 31701
Phone (229) 312-0700
417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207
808 13th Ave
Albany, GA 31701
Phone (229) 434-7640
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520
Interoperability endpoints
- https://api.platform.athenahealth.com/20335/brand/1/csg/1/fhir/r4
Organizations & group practices 11
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 Samc-Enterprise Medical Clinic
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
Single Specialty
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1881976520
AL, Single Specialty
-
- Obstetrics & Gynecology Physician
- Dothan, AL
- NPI 1568470896
Single Specialty
-
- Obstetrics & Gynecology Physician
- Birmingham, AL
- NPI 1174514905
Single Specialty
-
- Obstetrics & Gynecology Physician
- Albany, GA
- NPI 1871857011
Single Specialty
-
- Neurological Surgery Physician
- Dothan, AL
- NPI 1558657890
-
dba Southeast Alabama Medical Center Medical Clinics
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
Single Specialty
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Single Specialty
-
- Emergency Medicine Physician
- Opp, AL
- NPI 1356391353
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1073792388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1118 ROSS CLARK CIR STE 600",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013042",
"telephone_number": "334-793-3900",
"fax_number": "334-793-5227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 13TH AVE",
"city": "ALBANY",
"state": "GA",
"postal_code": "317011328",
"telephone_number": "229-434-7640",
"fax_number": "229-434-7647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JONATHAN",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-11-02",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "28408",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "063938",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "454780609A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.