Active NPI
Linda Linnette Payne, FNP-C
- Family Nurse Practitioner
- Conyers, GA
National Provider Identifier
1407568629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN188390
- Practice address
- 1506 Klondike Rd SW Ste 205
Conyers, GA 30094-5173 - Phone
- (678) 750-4000
- Fax
- (678) 750-4005
- NPI assigned
- Dec 19, 2022
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN188390 | GA | Primary |
Addresses
Primary practice location
1506 Klondike Rd SW Ste 205
Conyers, GA 30094-5173
Mailing address
1506 Klondike Rd SW Ste 205
Conyers, GA 30094-5173
Phone (678) 750-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 6787504005 | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN188390 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Center for Wellness | Current | Accepting new patients |
Locations
1506 Klondike Rd SW
Ste 205
Conyers, GA 30094
Phone (678) 750-3010
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 and National Provider Directory roles.
-
- Pediatrics Physician
- Conyers, GA
- NPI 1437416708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1407568629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 KLONDIKE RD SW STE 205",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945173",
"telephone_number": "678-750-4000",
"fax_number": "678-750-4005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 KLONDIKE RD SW STE 205",
"city": "CONYERS",
"state": "GA",
"postal_code": "300945173",
"telephone_number": "678-750-4000",
"fax_number": "678-750-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "LINDA",
"middle_name": "LINNETTE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN188390",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "6787504005",
"affiliation": "N",
"endpointDescription": "FAX",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Medical Records",
"address_1": "1506 Klondike Rd SW Ste 205",
"city": "Conyers",
"state": "GA",
"country_code": "US",
"postal_code": "300945173",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.