Individual provider Active NPI

Jessica Josephine Payne, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1366177958
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
32277 Issued in TN
Practice address
600 Arthur St
Knoxville, TN 37921-6405
Phone
(865) 523-8695
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0000183522 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 32277 TN Primary

Addresses

Primary practice location

600 Arthur St
Knoxville, TN 37921-6405

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711

Other practice location 1

6055 Shallowford Rd
Chattanooga, TN 37421-1688
Phone (423) 266-6751

Other practice location 2

601 Cumberland St
Chattanooga, TN 37404-1922
Phone (423) 266-6751

Other practice location 3

310 W 3rd North St
Morristown, TN 37814-4038
Phone (423) 581-4761

Other practice location 4

3006 Lake Brook Blvd
Knoxville, TN 37909-1137
Phone (865) 544-5069

Other practice location 5

2018 Clinch Ave
Knoxville, TN 37916-2301
Phone (865) 245-0070

Other practice location 6

990 W Highway 25 70
Newport, TN 37821-9006
Phone (423) 613-5777

Other practice location 7

320 W 3rd North St
Morristown, TN 37814-4038
Phone (423) 581-4761

Other practice location 8

1704 E Broadway Ave
Maryville, TN 37804-2916
Phone (865) 681-6990

Other practice location 9

5310 Ball Camp Pike
Knoxville, TN 37921-3234
Phone (865) 637-9711

Other practice location 10

100 Adams Ln
Oak Ridge, TN 37830-4909
Phone (865) 483-7743

Other practice location 11

5302 Ball Camp Pike
Knoxville, TN 37921-3234
Phone (865) 637-9711

Other practice location 12

1105 Oak Cluster Dr
Sevierville, TN 37862-6079
Phone (865) 429-0557

Other practice location 13

2336 Congress Pkwy S
Athens, TN 37303-2820
Phone (423) 507-0887

Other practice location 14

5645 Merchants Center Blvd
Knoxville, TN 37912-3470
Phone (865) 257-9982

Other practice location 15

205 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

Other practice location 16

3712 Middlebrook Pike
Knoxville, TN 37921-6503
Phone (865) 444-2333

Other practice location 17

201 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711

Other practice location 18

3105 Essary Dr
Knoxville, TN 37918-2409
Phone (865) 637-9711

Other identifiers 1

IdentifierTypeStateIssuer
Q077630MedicaidTN

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
I20221102002301 TN Practitioner - Nurse Practitioner 6901273010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Helen Ross McNabb CenterGroup PAC ID 1658278809, 40 clinicians

Practice addresses (Care Compare)

600 Arthur St
Knoxville, TN 37921-6405
Phone (865) 523-8695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000183522TNMDRegistered Nurse
32277TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Helen Ross McNabb Center CurrentSince Sep 8, 2022 Accepting new patients
American Medical Response of Tennessee, Inc. Past Accepting new patients
Mental Health Centers & Clinics of Tennessee Past Accepting new patients

Locations

2336 Congress Pkwy S
Athens, TN 37303
Phone (423) 507-0887

6055 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 763-4606

601 Cumberland St
Chattanooga, TN 37404
Phone (423) 763-0101

5310 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 262-8208

1515 Saint Mary St
Knoxville, TN 37917
Phone (865) 213-1550

2018 Clinch Ave
Knoxville, TN 37916
Phone (865) 541-8000

600 Arthur St
Knoxville, TN 37921
Phone (865) 523-8695

3712 Middlebrook Pike
Knoxville, TN 37921
Phone (865) 444-2333

3105 Essary Dr
Knoxville, TN 37918
Phone (865) 687-8990

2455 Sutherland Ave
Knoxville, TN 37919
Phone (865) 544-5000

5645 Merchants Center Blvd
Knoxville, TN 37912
Phone (865) 257-9982

5302 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 523-4704

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

205 W Springdale Ave
Knoxville, TN 37917
Phone (865) 312-7278

201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173

1704 E Broadway Ave
Maryville, TN 37804
Phone (865) 681-6990

1652 E Broadway Ave
Maryville, TN 37804
Phone (865) 681-6990

1012 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 977-0112

320 W 3rd North St
Morristown, TN 37814
Phone (423) 273-5599

990 W Highway 25 70
Newport, TN 37821
Phone (423) 248-5146

100 Adams Ln
Oak Ridge, TN 37830
Phone (865) 483-7743

647 Wall St
Sevierville, TN 37862
Phone (865) 429-0557

1105 Oak Cluster Dr
Sevierville, TN 37862
Phone (865) 366-4070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1366177958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TECH CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122747",
            "telephone_number": "865-637-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ARTHUR ST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379216405",
            "telephone_number": "865-523-8695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6055 Shallowford Rd",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374211688",
            "country_code": "US",
            "telephone_number": "423-266-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Cumberland St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374041922",
            "country_code": "US",
            "telephone_number": "423-266-6751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 W 3rd North St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378144038",
            "country_code": "US",
            "telephone_number": "423-581-4761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3006 Lake Brook Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379091137",
            "country_code": "US",
            "telephone_number": "865-544-5069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2018 Clinch Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379162301",
            "country_code": "US",
            "telephone_number": "865-245-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "990 W Highway 25 70",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378219006",
            "country_code": "US",
            "telephone_number": "423-613-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 W 3rd North St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378144038",
            "country_code": "US",
            "telephone_number": "423-581-4761",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1704 E Broadway Ave",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378042916",
            "country_code": "US",
            "telephone_number": "865-681-6990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5310 Ball Camp Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379213234",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Adams Ln",
            "address_purpose": "LOCATION",
            "city": "Oak Ridge",
            "state": "TN",
            "postal_code": "378304909",
            "country_code": "US",
            "telephone_number": "865-483-7743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5302 Ball Camp Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379213234",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Oak Cluster Dr",
            "address_purpose": "LOCATION",
            "city": "Sevierville",
            "state": "TN",
            "postal_code": "378626079",
            "country_code": "US",
            "telephone_number": "865-429-0557",
            "fax_number": "865-541-6942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2336 Congress Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "TN",
            "postal_code": "373032820",
            "country_code": "US",
            "telephone_number": "423-507-0887",
            "fax_number": "865-541-6942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5645 Merchants Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379123470",
            "country_code": "US",
            "telephone_number": "865-257-9982",
            "fax_number": "865-541-6942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "fax_number": "865-541-6942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 Middlebrook Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379216503",
            "country_code": "US",
            "telephone_number": "865-444-2333",
            "fax_number": "865-541-6942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Essary Dr",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379182409",
            "country_code": "US",
            "telephone_number": "865-637-9711",
            "fax_number": "865-541-6942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JESSICA",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "0000183522",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "32277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q077630",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.