Active NPI
Payne Family Medicine Inc
- Family Medicine Physician
- Fredericksburg, VA
National Provider Identifier
1386815876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0021550280
- Legal business name
- PAYNE FAMILY MEDICINE INC
- Practice address
- 2201 Charles St
Suite 102
Fredericksburg, VA 22401-3378 - Phone
- (540) 845-4139
- NPI assigned
- Mar 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mercedes Valencia Payne, MD
- Title
- Medical Director
- Phone
- (540) 845-4139
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0021550280 | VA | Primary |
Addresses
Primary practice location
2201 Charles St
Suite 102
Fredericksburg, VA 22401-3378
Mailing address
2201 Charles St
Suite 102
Fredericksburg, VA 22401-3378
Phone (540) 845-4139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2276306 | Other | VA | CIGNA |
| 7724414 | Other | VA | AETNA |
National Provider Directory
National Provider DirectoryLocations
2201 Charles St
Ste 102
Fredericksburg, VA 22401
Phone (540) 845-4139
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Spring City, TN
- NPI 1225021306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205280000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1246233600000",
"number": "1386815876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 CHARLES ST",
"address_2": "SUITE 102",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013378",
"telephone_number": "540-845-4139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 CHARLES ST",
"address_2": "SUITE 102",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224013378",
"telephone_number": "540-845-4139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAYNE FAMILY MEDICINE INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-12",
"last_updated": "2009-06-29",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "MERCEDES",
"authorized_official_middle_name": "VALENCIA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "540-845-4139",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0021550280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2276306",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7724414",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.