Individual provider Active NPI

Michelle Lauren Payne

  • Family Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1487025300
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-131372 Issued in AL
Practice address
2001 Providence Park
Birmingham, AL 35242-4680
Phone
(205) 982-7220
Fax
(205) 407-4072
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-131372 AL Primary

Addresses

Primary practice location

2001 Providence Park
Birmingham, AL 35242-4680

Mailing address

2001 Providence Park
Birmingham, AL 35242-4680
Phone (205) 982-7220

Other practice location 1

5346 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-4584
Phone (205) 982-7220

Other names 1

  • Ms. Michelle Tillman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160111000160 AL Practitioner - Nurse Practitioner 2567764475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama ENT and Allergy PCGroup PAC ID 1658321096, 7 clinicians

Practice addresses (Care Compare)

5346 Stadium Trace Pkwy
Suite 200
Hoover, AL 35244-4584
Phone (205) 982-7220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-131372ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama ENT & Allergy, PC CurrentSince Jul 1, 2024 Accepting new patients
Premier Allergist of Florida LLC PastSince Nov 4, 2015 Accepting new patients

Locations

2001 Providence Park
Birmingham, AL 35242
Phone (205) 982-7220

5346 Stadium Trace Pkwy
Ste 200
Hoover, AL 35244
Phone (205) 982-7220

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1487025300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-407-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PROVIDENCE PARK",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424680",
            "telephone_number": "205-982-7220",
            "fax_number": "205-407-4072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5346 Stadium Trace Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hoover",
            "state": "AL",
            "postal_code": "352444584",
            "country_code": "US",
            "telephone_number": "205-982-7220",
            "fax_number": "205-538-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "MICHELLE",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "TILLMAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.