Organization Active NPI

The Payne Group, LLC

  • Specialist
  • Dawsonville, GA
National Provider Identifier
1467837161
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE PAYNE GROUP, LLC
Practice address
17 River Sound Cir
Dawsonville, GA 30534-0735
Phone
(770) 772-9607
Fax
(770) 772-9812
NPI assigned
Jul 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Dolford F. Payne Jr., MD
Title
Ceo
Phone
(770) 772-9607

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X GA Primary

Addresses

Primary practice location

17 River Sound Cir
Dawsonville, GA 30534-0735

Mailing address

17 River Sound Cir
Dawsonville, GA 30534-0735
Phone (770) 772-9607

National Provider Directory

National Provider Directory

Locations

1305 Hembree Rd
Ste 204
Roswell, GA 30076
Phone (770) 772-9607

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1467837161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 RIVER SOUND CIR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340735",
            "telephone_number": "770-772-9607",
            "fax_number": "770-772-9812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 RIVER SOUND CIR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340735",
            "telephone_number": "770-772-9607",
            "fax_number": "770-772-9812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAYNE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "DOLFORD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-772-9607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.