Individual provider Active NPI

Payton Barrett Whiddon, MD

  • Family Medicine Physician
  • Ruston, LA
National Provider Identifier
1528647567
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
344822 Issued in LA
Practice address
2916 N Trenton St
Ruston, LA 71270-2444
Phone
(318) 254-2892
Fax
(318) 254-2898
NPI assigned
Apr 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 344822 LA Primary

Addresses

Primary practice location

2916 N Trenton St
Ruston, LA 71270-2444

Mailing address

2916 N Trenton St
Ruston, LA 71270-2444
Phone (318) 254-2892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250512002186 LA Practitioner - Family Practice 9234505439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Family Medicine RustonGroup PAC ID 0840656674, 5 clinicians

Practice addresses (Care Compare)

2916 N Trenton St
Ruston, LA 71270-2444
Phone (318) 254-2892

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
344822LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WK Family Medicine Ruston Family Medicine CurrentSince Apr 29, 2025 Accepting new patients

Locations

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

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.

Hospital & facility affiliations 6

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": "1617667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1528647567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702444",
            "telephone_number": "318-254-2892",
            "fax_number": "318-254-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702444",
            "telephone_number": "318-254-2892",
            "fax_number": "318-254-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIDDON",
        "first_name": "PAYTON",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-06",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "344822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.