Individual provider Active NPI

Hannah Kaye Payton, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1164873956
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7510 N Beach St
Fort Worth, TX 76137-1505
Phone
(817) 498-1818
NPI assigned
Jun 23, 2016
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X TX Primary

Addresses

Primary practice location

7510 N Beach St
Fort Worth, TX 76137-1505

Mailing address

4928 Birchman Ave
Fort Worth, TX 76107-5333

Other practice location 1

505 W Felix St
Fort Worth, TX 76115-3405
Phone (817) 392-4200

Other names 1

  • Hannah Benjamin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160810000852 TX Practitioner - Physician Assistant 5193019420 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Aug 1, 2016 Accepting new patients
Texas Health Physicians Group CurrentSince Aug 1, 2016 Accepting new patients
Fossil Creek Family Medical Center CurrentSince Sep 23, 2024 Accepting new patients
Tarrant Family Practice P.a Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

2010 W Katherine P Raines Rd
Ste 500
Cleburne, TX 76033
Phone (817) 556-7785

4504 Boat Club Rd
Ste 800
Ft Worth, TX 76135
Phone (817) 237-0515

7510 N Beach St
Ft Worth, TX 76137
Phone (817) 498-1818

Interoperability endpoints

  • Direct secure messaging: hpayton26538@innovista.gardenplot.direct-ci.com

Organizations & group practices 4

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1164873956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 BIRCHMAN AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761075333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7510 N BEACH ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371505",
            "telephone_number": "817-498-1818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 W Felix St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761153405",
            "country_code": "US",
            "telephone_number": "817-392-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "HANNAH",
        "middle_name": "KAYE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNAH",
            "last_name": "BENJAMIN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.