Individual provider Active NPI

Rose A Payne, M.D.

  • Internal Medicine Physician
  • Nashville, TN
National Provider Identifier
1184615809
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD30714 Issued in TN
Practice address
4230 Harding Pike Ste 501
Nashville, TN 37205-2018
Phone
(629) 255-2117
Fax
(629) 255-4087
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD30714 TN Primary

Addresses

Primary practice location

4230 Harding Pike Ste 501
Nashville, TN 37205-2018

Mailing address

222 22ND Ave N
Nashville, TN 37203-1852
Phone (629) 255-3486

Other identifiers 1

IdentifierTypeStateIssuer
Q018309MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000630 TN Practitioner - Internal Medicine 6709847205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Virginia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heritage Medical Associates PCGroup PAC ID 4688651037, 162 clinicians

Practice addresses (Care Compare)

4230 Harding Pike
Suite 605
Nashville, TN 37205-2018
Phone (629) 255-2115

Hospital & facility affiliations

  • Ascension Saint Thomas Hospital Hospital, Nashville, TN, CCN 440082
  • Tristar Centennial Medical Center Hospital, Nashville, TN, CCN 440161
  • Vanderbilt University Medical Center Hospital, Nashville, TN, CCN 440039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD30714TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Medical Associates PC CurrentSince Feb 28, 2005 Accepting new patients
Heritage Medical Associates PC Internal Medicine CurrentSince Feb 28, 2005 Accepting new patients
Summit Medical Associates PC Internal Medicine Past Accepting new patients

Locations

5653 Frist Blvd
Ste 630
Hermitage, TN 37076
Phone (615) 391-3971

222 22nd Ave N
Nashville, TN 37203
Phone (629) 255-2620

222 22nd Ave N
Ste 100
Nashville, TN 37203
Phone (615) 284-2222

4230 Harding Pike
Ste 605
Nashville, TN 37205
Phone (629) 255-2115

4230 Harding Pike
Ste 501
Nashville, TN 37205
Phone (629) 255-2131

Interoperability endpoints

  • Direct secure messaging: rosepayne@hma.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1184615809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 22ND AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031852",
            "telephone_number": "629-255-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HARDING PIKE STE 501",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052018",
            "telephone_number": "629-255-2117",
            "fax_number": "629-255-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "ROSE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD30714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q018309",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.