Individual provider Active NPI

Samuel Houston Payne III, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Atlanta, GA
National Provider Identifier
1497288773
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
85620 Issued in GA
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

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211108002686 GA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General SurgeryPractitioner - Hand Surgery 8022407378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Georgia Hand , Shoulder and Elbow PCGroup PAC ID 5193712982, 22 clinicians

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 Hospital, Atlanta, GA, CCN 110083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue16
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC CurrentSince Sep 1, 2021 Accepting new patients
Georgia Hand , Shoulder & Elbow PC CurrentSince Sep 9, 2024 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

  • Direct secure messaging: samuel.payne.iii.1@5080.direct.athenahealth.com
  • Direct secure messaging: samuel.payne.3@5080.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.