Larry Jeffrey Payne, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

034217 Issued in GA

Practice address

1485 Jesse Jewell Parkway NE
Suite 100
Gainesville, GA 30501

Phone

(770) 534-1711

Fax

(770) 532-2422

NPI assigned

Dec 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• North Georgia Eye Clinic, PC

  • Ophthalmic Technician/Technologist
  • Gainesville, GA
  • NPI 1497882500
  Authorized official Same address or phone
• North Georgia Opticians, Inc

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, GA
  • NPI 1073640264
  Authorized official Same address or phone

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1366504474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PARKWAY NE",
            "address_2": "SUITE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-534-1711",
            "fax_number": "770-532-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 JESSE JEWELL PARKWAY NE",
            "address_2": "SUITE 100",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "30501",
            "telephone_number": "770-534-1711",
            "fax_number": "770-532-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LARRY",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "034217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00456222A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Patterson, PT
• Jacoby Patterson, PA
• Travis Michael Patterson, M.D.
• John David Patton Jr., MD
• Andrea Marie Paul, LCSW
• Robert Dale Payne, MSPT
• PBT Dental LLC
• PCP Dental LLC (Aspen Dental)
• PCR-DX, LLC
• Peaceful Hearts Enterprise Inc (Peaceful Hearts PCH)

• Ophthalmology Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.