Individual provider Active NPI

Mary S Payne, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Huntington, WV
National Provider Identifier
1316138324
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
23011 Issued in WV
Practice address
1600 Medical Center Dr
Ste B500
Huntington, WV 25701-3656
Phone
(304) 691-1787
Fax
(304) 691-8711
NPI assigned
Aug 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 04-52411 KS
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 23011 WV Primary

Addresses

Primary practice location

1600 Medical Center Dr
Ste B500
Huntington, WV 25701-3656

Mailing address

1600 Medical Center Dr
Ste B500
Huntington, WV 25701-3656
Phone (304) 691-1787

Other practice location 1

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1200

Other practice location 2

5508 W 110th St
Overland Park, KS 66211-2504
Phone (816) 696-8000

Other identifiers 1

IdentifierTypeStateIssuer
3810012774MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paynem@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080318000429 WV Practitioner - Neurology 7315023223 Reassigns benefits to 5 organizations
I20201222000158 CO Practitioner - Neurology 7315023223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Louisiana State University School of Medicine in New Orleans, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 293-4500

1600 Medical Ctr Dr
Suite B500
Huntington, WV 25701-3655
Phone (304) 691-1787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-52411KSMDNeurology with Special Qualifications in Child Neurology Physician
23011WVMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurotech, LLC CurrentSince May 5, 2019 Accepting new patients
University Physicians & Surgeons, Inc CurrentSince Feb 4, 2008 Accepting new patients
Neurotech, LLC CurrentSince Aug 15, 2019 Accepting new patients
THS Physician Partners Inc CurrentSince Oct 16, 2023 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Feb 4, 2008 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 14, 2025 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 10, 2020 Accepting new patients
Denver Health and Hospital Authority CurrentSince Sep 10, 2020 Accepting new patients
West Virginia University Medical Corporation CurrentSince Jun 14, 2025 Accepting new patients
Ambulatory Neurological Services, LLC Past Accepting new patients
Ambulatory Neurological Services, LLC Past Accepting new patients

Locations

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

777 Bannock St
Denver, CO 80204

4010 DuPont Cir
Ste 230
Louisville, KY 40207
Phone (262) 875-6635

L3539
Columbus, OH 43260
Phone (304) 414-4800

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

2211 3rd Ave
Huntington, WV 25703
Phone (304) 691-1880

1600 Medical Center Dr
Ste 1500
Huntington, WV 25701
Phone (304) 691-1100

1600 Medical Center Dr
Ste B500
Huntington, WV 25701
Phone (304) 691-1787

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1340 Hal Greer Blvd
Bldg 2
Huntington, WV 25701
Phone (304) 691-1779

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

1200 J D Anderson Dr
Morgantown, WV 26505
Phone (304) 598-1460

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Organizations & group practices 13

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.

View all 13

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1316138324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "STE B500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1787",
            "fax_number": "304-691-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL CENTER DR",
            "address_2": "STE B500",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013656",
            "telephone_number": "304-691-1787",
            "fax_number": "304-691-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 J D Anderson Dr",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265053494",
            "country_code": "US",
            "telephone_number": "304-598-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5508 W 110th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662112504",
            "country_code": "US",
            "telephone_number": "816-696-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MARY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-05",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "KS",
            "license": "04-52411",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WV",
            "license": "23011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012774",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paynem@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1600 Medical Center Dr",
            "address_2": "Ste B500",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.