Active NPI
Portia Payne
- Family Nurse Practitioner
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 33553
- Practice address
- 80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353 - Phone
- (901) 761-3900
- Fax
- (901) 578-2572
- NPI assigned
- May 8, 2023
- Last updated
- Sep 15, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 906266 | MS | |
| Family Nurse Practitioner | 363LF0000X | 33553 | TN | Primary |
Addresses
Primary practice location
80 Humphreys Center Dr Ste 210
Memphis, TN 38120-2353
Mailing address
PO Box 405827
Atlanta, GA 30384-5827
Phone (901) 226-3186
Other practice location 1
7615 Clarington Cv
Southaven, MS 38671-5647
Phone (662) 536-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 Southcrest Cir
Suite 203
Southaven, MS 38671-6719
Phone (662) 775-4025
80 Humphreys Ctr Dr
Suite 210
Memphis, TN 38120-2353
Phone (901) 761-3900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Internal Medicine | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Foner Med, PLLC | Current | Accepting new patients | |
| Baptist Memorial Medical Group Inc | Current | Accepting new patients | |
| Gastrointestinal Specialists Foundation, Inc | Family | Current | Accepting new patients |
Locations
401 Southcrest Cir
Ste 203
Southaven, MS 38671
Phone (662) 775-4025
7615 Clarington Cv
Southaven, MS 38671
Phone (662) 536-2500
5150 Airline Rd
Ste 300
Arlington, TN 38002
36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801
1500 W Poplar Ave
Ste 206
Collierville, TN 38017
Phone (901) 227-4067
1995 Highway 51 S
Ste 106
Covington, TN 38019
Phone 6153403436 ext. 102
1995 Highway 51 S
Ste 111
Covington, TN 38019
Phone (901) 475-6607
1995 Highway 51 S
Ste 204
Covington, TN 38019
Phone (901) 475-5305
2100 Exeter Rd
Memphis, TN 38138
Phone (901) 757-1350
493 Dr Ml King Jr Ave
Memphis, TN 38126
Phone (901) 526-0802
80 Humphreys Center Dr
Ste 201
Memphis, TN 38120
Phone (901) 226-2960
80 Humphreys Center Dr
Ste 202
Memphis, TN 38120
Phone (901) 226-4280
7777 Church St
Millington, TN 38053
Phone (901) 872-2020
Interoperability endpoints
- https://api.platform.athenahealth.com/15660/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/JJIHAA
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Memphis, TN
- NPI 1942546452
Family, MS
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1306089206
-
dba BMG East Memphis Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1841006129
-
- Specialist
- Southaven, MS
- NPI 1215058094
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Memphis, TN
- NPI 1578527172
-
- General Acute Care Hospital
- Covington, TN
- NPI 1316901937
-
- General Acute Care Hospital
- West Memphis, AR
- NPI 1437634524
-
- General Acute Care Hospital
- Southaven, MS
- NPI 1194789818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726358400000",
"number": "1578252276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 405827",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303845827",
"telephone_number": "901-226-3186",
"fax_number": "901-226-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 HUMPHREYS CENTER DR STE 210",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202353",
"telephone_number": "901-761-3900",
"fax_number": "901-578-2572"
}
],
"practiceLocations": [
{
"address_1": "7615 Clarington Cv",
"address_purpose": "LOCATION",
"city": "Southaven",
"state": "MS",
"postal_code": "386715647",
"country_code": "US",
"telephone_number": "662-536-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "PORTIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-08",
"last_updated": "2024-09-15",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "906266",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "33553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.