Organization Active NPI

Darren Payne, M.D., LLC

  • Health Service Clinic/Center
  • Beverly Hills, FL
National Provider Identifier
1164882726
Registry record updated Feb 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
ME88113 Issued in FL
Legal business name
DARREN PAYNE, M.D., LLC
Practice address
3402 N Lecanto Hwy
Beverly Hills, FL 34465-3570
Phone
(850) 240-2205
NPI assigned
Feb 25, 2016
Last updated
Feb 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2016

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

Authorized official

Name
Dr. Darren Payne, M.D.
Title
Member
Phone
(850) 240-2205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X ME88113 FL Primary

Addresses

Primary practice location

3402 N Lecanto Hwy
Beverly Hills, FL 34465-3570

Mailing address

PO Box 641538
Beverly Hills, FL 34464-1538
Phone (850) 240-2205

Other identifiers 1

IdentifierTypeStateIssuer
268988000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456358400000",
    "number": "1164882726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641538",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344641538",
            "telephone_number": "850-240-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 N LECANTO HWY",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344653570",
            "telephone_number": "850-240-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN PAYNE, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-25",
        "last_updated": "2016-02-25",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "850-240-2205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "ME88113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268988000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; 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.