Individual provider Active NPI

Tracy Mae Payne, NP-C

  • Nurse Practitioner
  • Seymour, TN
National Provider Identifier
1356836472
Registry record updated Jun 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
24368 Issued in TN
Practice address
11653 Chapman Hwy
Seymour, TN 37865-5099
Phone
(865) 773-0327
NPI assigned
Jun 30, 2018
Last updated
Jun 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 24368 TN Primary

Addresses

Primary practice location

11653 Chapman Hwy
Seymour, TN 37865-5099

Mailing address

2624 Montvale Rd
Maryville, TN 37803-2837
Phone (865) 307-1628

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620000345 TN Practitioner - Nurse Practitioner 5294086427 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eckert Chiropractic CenterGroup PAC ID 7911022306, 2 clinicians

Practice addresses (Care Compare)

1062 Oak Ridge Tpke
Oak Ridge, TN 37830-6479
Phone (865) 220-8499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24368TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Minds of Appalachia CurrentSince Feb 7, 2026 Accepting new patients
Eckert Chiropractic Center CurrentSince Jun 3, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 16, 2024 Accepting new patients

Locations

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

1062 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 220-8499

1062 Oak Ridge Tpke
Ste B
Oak Ridge, TN 37830
Phone (865) 220-8499

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530316800000",
    "number": "1356836472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 MONTVALE RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378032837",
            "telephone_number": "865-307-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 CHAPMAN HWY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655099",
            "telephone_number": "865-773-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "TRACY",
        "middle_name": "MAE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-30",
        "last_updated": "2018-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "24368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

Verify at the official NPI Registry.