K Payne MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

Legal business name

K PAYNE MD

Practice address

804 Heavens Dr Ste 101
Mandeville, LA 70471-2804

Phone

(985) 201-5550

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karroll Payne McGregor, MD

Title

President

Phone

(770) 710-6760

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karroll L Payne, MD

  • Obstetrics & Gynecology Physician
  • Bogalusa, LA
  • NPI 1578501441
  Medicare reassignment NPD

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1114708542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 ASPEN LN",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335737",
            "telephone_number": "985-201-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 HEAVENS DR STE 101",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704712804",
            "telephone_number": "985-201-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K PAYNE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR",
        "authorized_official_first_name": "KARROLL",
        "authorized_official_middle_name": "PAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-710-6760",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rani Joseph, MSW
• Savannah Joseph, M.ED, BCBA, LBA
• Peter Joslyn, M.D.
• Randall Scott Juleff, M.D.
• Justjen,LLC
• Eric R Kaftan, MS
• Jennifer Kain, LPN
• Danya Soast Kane, EDM
• Charles M Kantrow III, MD
• Lindsey Kappes, PMHNP-BC

• Gynecology Physician in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Gynecology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.