Active NPI
Samuel Houston Payne III, MD
- Surgery of the Hand (Plastic Surgery) Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- 85620
- Practice address
- 2061 Peachtree Rd NE Ste 500
Atlanta, GA 30309-1446 - Phone
- (404) 352-3522
- NPI assigned
- Apr 4, 2017
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 85620 | GA | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 85620 | GA | Primary |
Addresses
Primary practice location
2061 Peachtree Rd NE Ste 500
Atlanta, GA 30309-1446
Mailing address
2061 Peachtree Rd NE Ste 500
Atlanta, GA 30309-1446
Phone (404) 352-3522
Other practice location 1
620 Cherokee St NE Ste 200
Marietta, GA 30060-7225
Phone (770) 795-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- 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
- Plastic and Reconstructive Surgery
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2061 Peachtree Rd NE
Suite 500
Atlanta, GA 30309-1446
Phone 40435235221026
620 Cherokee St NE
Suite 200
Marietta, GA 30060-7225
Phone (770) 795-7979
Hospital & facility affiliations
- Piedmont Hospital, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 16 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Coverage, LLC | Current | Accepting new patients | |
| Georgia Hand , Shoulder & Elbow PC | Current | Accepting new patients | |
| Aga Clinical Services, LLC | Past | Accepting new patients |
Locations
2061 Peachtree Rd NE
Ste 500
Atlanta, GA 30309
Phone (404) 352-3522
1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115
620 Cherokee St NE
Ste 200
Marietta, GA 30060
Phone (770) 795-7979
1001 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 785-2008
Interoperability endpoints
- samuel.payne.iii.1@5080.direct.athenahealth.com
- samuel.payne.3@5080.direct.athenahealth.com
- https://api.platform.athenahealth.com/5080/brand/2/csg/22/fhir/r4
Organizations & group practices 4
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.
-
- Orthopaedic Hand Surgery Physician
- Atlanta, GA
- NPI 1669406591
-
- Long Term Care Hospital
- Atlanta, GA
- NPI 1043311715
-
- Gastroenterology Physician
- Atlanta, GA
- NPI 1295193399
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1497288773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2061 PEACHTREE RD NE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091446",
"telephone_number": "404-352-3522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2061 PEACHTREE RD NE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091446",
"telephone_number": "404-352-3522"
}
],
"practiceLocations": [
{
"address_1": "620 Cherokee St NE Ste 200",
"address_purpose": "LOCATION",
"city": "Marietta",
"state": "GA",
"postal_code": "300607225",
"country_code": "US",
"telephone_number": "770-795-7979",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "SAMUEL",
"middle_name": "HOUSTON",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-04",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "GA",
"license": "85620",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "GA",
"license": "85620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.