NPIMap

Individual provider Active NPI

James Allen Payne, PA-C

  • Medical Physician Assistant
  • Martinsburg, WV
National Provider Identifier
1407100860
Registry record updated Mar 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
01687 Issued in WV
Practice address
101 Marcley Dr
Martinsburg, WV 25401-2977
Phone
(304) 263-8911
Fax
(304) 263-9450
NPI assigned
Nov 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 01687 WV Primary

Addresses

Primary practice location

101 Marcley Dr
Martinsburg, WV 25401-2977

Mailing address

101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jpayne581802@soc.inova.org
Direct Messaging Address jpayne581802@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121205000200 WV Practitioner - Physician Assistant 8123270790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Oak Lee Dr
Ranson, WV 25438-4879
Phone (304) 930-0001

101 Marcley Dr
Martinsburg, WV 25401-2977
Phone (304) 263-8911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
01687WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Health Physicians, Inc. CurrentSince Nov 1, 2018 Accepting new patients
East Mountain Health Physicians Inc. CurrentSince Nov 1, 2018 Accepting new patients
East Mountain Health Physicians Inc. Past Accepting new patients
East Mountain Health Physicians, Inc. Past Accepting new patients

Locations

4803 Gerrardstown Rd
Inwood, WV 25428
Phone (304) 821-9011

1004 Sushruta Dr
Ste D
Martinsburg, WV 25401
Phone (304) 262-2538

101 Marcley Dr
Martinsburg, WV 25401
Phone (304) 263-8911

100 Oak Lee Dr
Ranson, WV 25438
Phone (304) 350-0001

Interoperability endpoints

  • Direct secure messaging: jpayne581802@soc.inova.org
  • Direct secure messaging: jpayne581802@valleyhealth.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615075200000",
    "number": "1407100860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARCLEY DR",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012977",
            "telephone_number": "304-263-8911",
            "fax_number": "304-263-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-06",
        "last_updated": "2021-03-07",
        "certification_date": "2021-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "01687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpayne581802@soc.inova.org",
            "affiliation": "N",
            "address_1": "101 Marcley Dr",
            "city": "Martinsburg",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254012977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpayne581802@soc.inova.org",
            "affiliation": "N",
            "address_1": "4803 Gerrardstown Rd",
            "city": "Inwood",
            "state": "WV",
            "country_code": "US",
            "postal_code": "254283450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.