Nettleton S Payne II, MD

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

016406 Issued in GA

Practice address

3586 Tuxedo Park NW
Atlanta, GA 30305-1041

Phone

(404) 262-1043

Fax

(404) 262-1264

NPI assigned

Feb 27, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1124268313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 TUXEDO PARK NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051041",
            "telephone_number": "404-262-1043",
            "fax_number": "404-262-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 TUXEDO PARK NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051041",
            "telephone_number": "404-262-1043",
            "fax_number": "404-262-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "NETTLETON",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "016406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adria Payne, FNP
• Bryan Chesley Payne, P.A.
• Janora Payne, MD
• Jason Norberto Payne, MD, MSPH
• Joseph R Payne, M.D
• Nicole Lynn Payne, CNP
• S Houston Payne Jr., M.D.
• Samuel Houston Payne III, MD
• Shedreona Payne
• Susanne Elizabeth Payne

• Neurological Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Neurological Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.