Individual provider Active NPI

Portia Payne

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1578252276
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33553 Issued in TN
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230615000328 TN Practitioner - Nurse Practitioner 2769840263 Reassigns benefits to 3 organizations
I20241022001352 MS Practitioner - Nurse Practitioner 2769840263 Reassigns benefits to 1 organization

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
Gastrointestinal Specialists Foundation, Inc.Group PAC ID 9830334010, 18 clinicians

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

OrganizationSpecialtyStatusNew patients
Landmark Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Foner Med, PLLC CurrentSince Jun 1, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
Gastrointestinal Specialists Foundation, Inc Family CurrentSince Nov 1, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/15660/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.