Individual provider Active NPI

Kyle D Payne, MD

  • Pain Medicine (Anesthesiology) Physician
  • Camden, TN
National Provider Identifier
1467660910
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
49837 Issued in TN
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130730000587 TN Practitioner - AnesthesiologyPractitioner - Pain Management 9537215058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifelinc Anesthesia II, PLLCGroup PAC ID 2668658493, 39 clinicians
Lifelinc Anesthesia VIII PLLCGroup PAC ID 3173984762, 155 clinicians

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

LicenseStateTypeSpecialty
49837TNMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelinc Anesthesia VIII PLLC Anesthesiology CurrentSince Nov 22, 2024 Accepting new patients
Bluff City Pain, PLLC Pain Medicine CurrentSince Oct 21, 2025 Accepting new patients
Lifelinc Anesthesia II, PLLC Anesthesiology CurrentSince Jul 17, 2023 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.

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.