Active NPI
Amy Ruth Payne, M.D.
- Dermatology Physician
- Clyde, NC
National Provider Identifier
1245233030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2018-01671
- Practice address
- 107 Haywood Park Dr
Clyde, NC 28721 - Phone
- (828) 565-0560
- NPI assigned
- May 24, 2005
- Last updated
- Oct 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 2018-01671 | NC | Primary |
Addresses
Primary practice location
107 Haywood Park Dr
Clyde, NC 28721
Mailing address
PO Box 1921
Clyde, NC 28721-1900
Phone (828) 565-0560
Other practice location 1
65 Memorial Rd
Suite 450
West Hartford, CT 06107-2434
Phone (860) 523-1087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Virginia Physicians Group | Past | Accepting new patients | |
| Hartford Dermatology Associates PC | Past | Accepting new patients | |
| Mountain Laurel Dermatology, PLLC | Dermatology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- Clyde, NC
- NPI 1700298635
-
- Procedural Dermatology Physician
- West Hartford, CT
- NPI 1467588343
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1245233030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1921",
"city": "CLYDE",
"state": "NC",
"postal_code": "287211900",
"telephone_number": "828-565-0560",
"fax_number": "828-565-0562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 HAYWOOD PARK DR",
"city": "CLYDE",
"state": "NC",
"postal_code": "28721",
"telephone_number": "828-565-0560"
}
],
"practiceLocations": [
{
"address_1": "65 Memorial Rd",
"address_2": "Suite 450",
"address_purpose": "LOCATION",
"city": "West Hartford",
"state": "CT",
"postal_code": "061072434",
"country_code": "US",
"telephone_number": "860-523-1087",
"fax_number": "860-523-1472",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "AMY",
"middle_name": "RUTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-24",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2018-01671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clyde, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.