Active NPI
Kyle D Payne, MD
- Pain Medicine (Anesthesiology) Physician
- Camden, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 49837
- Practice address
- 176 Briarwood St Ste B
Camden, TN 38320-1456 - Phone
- (731) 213-2720
- Fax
- (731) 350-0677
- NPI assigned
- May 18, 2007
- Last updated
- Oct 11, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 49837 | TN | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 49837 | TN | Primary |
Addresses
Primary practice location
176 Briarwood St Ste B
Camden, TN 38320-1456
Mailing address
131 Saundersville Rd
Suite 160
Hendersonville, TN 37075-8903
Phone (901) 203-2901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Oklahoma College of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Northcrest Dr
Springfield, TN 37172-3927
Phone (901) 844-1590
435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49837 | TN | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifelinc Anesthesia VIII PLLC | Anesthesiology | Current | Accepting new patients |
| Bluff City Pain, PLLC | Pain Medicine | Current | Accepting new patients |
| Lifelinc Anesthesia II, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
5683 S Rex Rd
Memphis, TN 38119
Phone (901) 350-0678
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
435 2nd St
Newport, TN 37821
Phone (423) 625-2200
100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Springfield, TN
- NPI 1821397233
-
- Anesthesiology Physician
- Newport, TN
- NPI 1679265052
-
- Pain Medicine (Anesthesiology) Physician
- Memphis, TN
- NPI 1790651263
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Francis Hospital-Bartlett
- General Acute Care Hospital
- Bartlett, TN
- NPI 1811929151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1467660910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 SAUNDERSVILLE RD",
"address_2": "SUITE 160",
"city": "HENDERSONVILLE",
"state": "TN",
"postal_code": "370758903",
"telephone_number": "901-203-2901",
"fax_number": "901-779-6968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 BRIARWOOD ST STE B",
"city": "CAMDEN",
"state": "TN",
"postal_code": "383201456",
"telephone_number": "731-213-2720",
"fax_number": "731-350-0677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "KYLE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-18",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "49837",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TN",
"license": "49837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, TN
- Nora Diane Morgan
- Elizabeth Ann Oconnor, RPH
- Brooke Overbey, DDS
- Pain Relief of West TN
- Brenda Michelle Patterson, R.N.
- Virginia Margarita Peebles, APN-BC
- PT Associates, LLC (King Physical Therapy)
- Quality Home Health Care, Inc. (Tennessee Quality Homecare-Northwest)
- Redemption Recovery Center, LLC (AppleGate Recovery - Camden)
- Lynn Redmond, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.