Individual provider Active NPI

Jonathan Paul Payne, MD

  • Obstetrics & Gynecology Physician
  • Albany, GA
National Provider Identifier
1073792388
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28408 Issued in AL
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
454780609AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100903000631 GA Practitioner - Obstetrics/Gynecology 4082765185 Reassigns benefits to 2 organizations
I20211108000917 AL Practitioner - Obstetrics/Gynecology 4082765185 Reassigns benefits to 5 organizations

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

LicenseStateTypeSpecialty
063938GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Care Specialists PC Single Specialty CurrentSince Oct 15, 2024 Accepting new patients
Phoebe Physician Group, Inc Single Specialty CurrentSince Dec 1, 2025 Accepting new patients
Houston County Healthcare Authority Single Specialty CurrentSince Jun 17, 2024 Accepting new patients
Women's Medical Center, PC Single Specialty CurrentSince Oct 5, 2021 Accepting new patients
Houston County Healthcare Authority Single Specialty Current Accepting new patients
Obhg Georgia, P.C. Single Specialty CurrentSince May 1, 2025 Accepting new patients
Southwest Georgia OB-GYN, PC Single Specialty CurrentSince Aug 1, 2012 Accepting new patients
Obhg Alabama, P.C. Single Specialty CurrentSince Oct 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.