Individual provider Active NPI

Payton Anne Gore, MD

  • Anesthesiology Physician
  • Birmingham, AL
National Provider Identifier
1295315570
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
54374 Issued in AL
Practice address
3680 Grandview Pkwy Ste 500
Birmingham, AL 35243-3412
Phone
(205) 971-3510
NPI assigned
Apr 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 54374 AL Primary
Anesthesiology Physician 207L00000X 183147 CA

Addresses

Primary practice location

3680 Grandview Pkwy Ste 500
Birmingham, AL 35243-3412

Mailing address

PO Box 680060
Franklin, TN 37068-0060
Phone (877) 848-1457

Other practice location 1

4150 V Street
PSSB 1200
Sacramento, CA 95817
Phone (916) 734-5028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251222001037 CA Practitioner - Anesthesiology 1658737952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Howard University College of Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10545 Armstrong Ave
Suite 1200
Mather, CA 95655-4101

10850 White Rock Rd
Rancho Cordova, CA 95670-6044

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183147CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Oct 15, 2025 Accepting new patients
Flowers HB Medical Services LLC Anesthesiology CurrentSince Jun 29, 2026 Accepting new patients
Regents of the University of Ca Anesthesiology CurrentSince Oct 15, 2025 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

3680 Grandview Pkwy
Ste 500
Birmingham, AL 35243
Phone (205) 971-3510

2315 Stockton Blvd
Ste 1200
Sacramento, CA 95817
Phone (916) 734-5394

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1295315570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680060",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370680060",
            "telephone_number": "877-848-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 GRANDVIEW PKWY STE 500",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433412",
            "telephone_number": "205-971-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4150 V Street",
            "address_2": "PSSB 1200",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95817",
            "country_code": "US",
            "telephone_number": "916-734-5028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORE",
        "first_name": "PAYTON",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "54374",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "183147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.