Michael Ray Payne, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP2899 Issued in TN

Practice address

25 Max Lane Dr
Jackson, TN 38305-2815

Phone

(731) 541-6572

Fax

(731) 541-4436

NPI assigned

Feb 23, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1407178171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAX LANE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052815",
            "telephone_number": "731-541-6572",
            "fax_number": "731-541-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAX LANE DR",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052815",
            "telephone_number": "731-541-6572",
            "fax_number": "731-541-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP2899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph E Patterson, DO
• Darlene McDonald Patton, D.PH.
• Payne Chiropractic PLLC
• Franklin Vaughn Payne, D.C.
• James A Payne, MD
• Rena Payne
• David A Pearce, MD
• Pamela Pearce, MS, NCC, LPC MHSP
• Brian Keith Pearson, D.D.S.
• Michael Brent Pearson, D.C.

• Speech-Language Pathologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Speech-Language Pathologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.

Verify at the official NPI Registry.