Active NPI
Jo Ann T Payne, OD
- Optometrist
- Suwanee, GA
National Provider Identifier
1386750941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 001247
- Practice address
- 4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6047 - Phone
- (770) 232-7844
- Fax
- (770) 232-9455
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 001247 | GA | Primary |
Addresses
Primary practice location
4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6047
Mailing address
4330 Johns Creek Pkwy
Suite 300
Suwanee, GA 30024-6047
Phone (770) 232-7844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001247 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneopto Ga 1 PLLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282780800000",
"number": "1386750941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4330 JOHNS CREEK PKWY",
"address_2": "SUITE 300",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246047",
"telephone_number": "770-232-7844",
"fax_number": "770-232-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4330 JOHNS CREEK PKWY",
"address_2": "SUITE 300",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246047",
"telephone_number": "770-232-7844",
"fax_number": "770-232-9455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JO ANN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2010-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "001247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
- Mildred Peden Patzer, LPC
- Paul Internal Medicine
- Ranjan Paul, MD
- Payne & Payne, PC (South Forsyth/Alpharetta Eyecare)
- Gregory W Payne, O.D.
- Gary Payton, R. PH.
- Peach Dermatology, P.C.
- Peach State Dental Implants and Periodontics (Peach State Laser Periodontics & Implants)
- Peachtree Medical Clinic LLC
- Peachtree Pediatric Urgent Care, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.