Active NPI
Michelle Lauren Payne
- Family Nurse Practitioner
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-131372
- 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
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 | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1-131372 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama ENT & Allergy, PC | Current | Accepting new patients | |
| Premier Allergist of Florida LLC | Past | 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.
-
- Specialist
- Birmingham, AL
- NPI 1386749885
-
- Allergy & Immunology Physician
- Birmingham, AL
- NPI 1386596245
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.