Alexis Payne, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301518088 Issued in MI

Practice address

829 N Center Ave Ste 130
Gaylord, MI 49735-1684

Phone

(989) 731-7930

Fax

(989) 731-7948

NPI assigned

Apr 18, 2023

Sex

Female

Sole proprietor

No

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

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.

Specialty

Pediatric Medicine

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1134816424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 130",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351684",
            "telephone_number": "989-731-7930",
            "fax_number": "989-731-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 130",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351684",
            "telephone_number": "989-731-7930",
            "fax_number": "989-731-7948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 N Center Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351592",
            "country_code": "US",
            "telephone_number": "989-731-7996",
            "fax_number": "989-731-9151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3031 W Grand Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482023014",
            "country_code": "US",
            "telephone_number": "616-706-7922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ALEXIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301518088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rene' Packard, LMT
• Jeanne Marie Paque
• Tabitha Carolin Pardo, FNP-C
• Patricia Duley MDPC
• Kathleen Marie Pawlanta, F.N.P.
• Dan Payne, PTA
• Jessica Anne Peacock, CPNP-PC
• Mary Ann Pearall, RD
• Cathryn Gerian Pearl, PA-C
• Bailey Elise Pearson, OD

• Pediatrics Physician in Gaylord, MI
• Providers in Gaylord, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.

Verify at the official NPI Registry.