Organization Active NPI

The Payne Center PC

  • Chiropractor
  • Acworth, GA
National Provider Identifier
1164879029
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE PAYNE CENTER PC
Practice address
4365 S Main St
Acworth, GA 30101-5542
Phone
(770) 529-0566
NPI assigned
May 20, 2016
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Andrew Payne, D.C.NPI 1982051462
Title
Chiropractor
Phone
(706) 224-2924

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4365 S Main St
Acworth, GA 30101-5542

Mailing address

4365 S Main St
Acworth, GA 30101-5542
Phone (770) 529-0566

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drpayne@lakecitychiropractic.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170103001960 GA Part B Supplier - Clinic/Group Practice 5294016374 Receives reassigned benefits from 2 practitioners
Practice locations: Acworth, GA

National Provider Directory

National Provider Directory

Locations

4365 S Main St
Acworth, GA 30101
Phone (770) 529-0566

4500 S Main St
Acworth, GA 30101
Phone (770) 529-0566

4500 S Main St
Ste 104
Acworth, GA 30101
Phone (706) 224-2924

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1164879029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 S MAIN ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015542",
            "telephone_number": "770-529-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 S MAIN ST",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015542",
            "telephone_number": "770-529-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAYNE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "706-224-2924",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drpayne@lakecitychiropractic.com",
            "affiliation": "N",
            "endpointDescription": "Dr Payne Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4365 S Main St",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301015542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.