Shelia S Payne, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN077594 Issued in GA

Practice address

2121 Bellevue Rd
Dublin, GA 31021-2952

Phone

(478) 275-6545

NPI assigned

Oct 4, 2012

Last updated

Oct 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 1985

Medicare assignment

May accept Medicare assignment

Group practices

Laurens County Board of HealthGroup PAC ID 9739356635, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Laurens County Board of Health

  dba Ryan White Clinic

  • Public Health or Welfare Agency
  • Dublin, GA
  • NPI 1841505641
  Medicare reassignment Care Compare group NPD
• Laurens County Board of Health

  dba Laurens County Health Department

  • Public Health or Welfare Agency
  • Dublin, GA
  • NPI 1336395615
  NPD (past)

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

{
    "created_epoch": "1349308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349308800000",
    "number": "1245582964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121B BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212952",
            "telephone_number": "478-275-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212952",
            "telephone_number": "478-275-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SHELIA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-04",
        "last_updated": "2012-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN077594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lee Roberts Patisaul, M. ED., CCC-SLP
• Jami M Patti, P.T.
• Rhonda S. Paulk, FNP
• Charles J. Paullisky, O.D.
• Jill Pavesich
• PDK Radiology LLC
• Cristal Kaye Peacock, LPN
• Rose Pearson, LPC
• April Peebles
• Karen Jean Penny, KINESIOTHERAPIST

• Nurse Practitioner in Dublin, GA
• Providers in Dublin, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.