Active NPI
Virginia J Payne, M.D.
- Psychiatry Physician
- Jackson, MS
National Provider Identifier
1497808463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 11404
- Practice address
- 1675 Lakeland Dr Ste 200
Jackson, MS 39216-4843 - Phone
- (601) 981-4313
- NPI assigned
- Jan 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 11404 | MS | Primary |
Addresses
Primary practice location
1675 Lakeland Dr Ste 200
Jackson, MS 39216-4843
Mailing address
1675 Lakeland Dr Ste 200
Jackson, MS 39216-4843
Phone (601) 981-4313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110927000798 | MS | Practitioner - Psychiatry | 9638340490 | Practice locations: Jackson, MS |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Mississippi School of Medicine, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1675 Lakeland Dr
Suite 200
Jackson, MS 39216-4843
Phone (601) 981-4313
4539 Eastwood Rd
Jackson, MS 39211-6116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solstice Dermatology, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dermatology Physician
- Jackson, MS
- NPI 1003518663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1497808463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 LAKELAND DR STE 200",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164843",
"telephone_number": "601-981-4313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LAKELAND DR STE 200",
"city": "JACKSON",
"state": "MS",
"postal_code": "392164843",
"telephone_number": "601-981-4313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "VIRGINIA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-20",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "11404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.