Payten McCloud
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Quitman, GA
NPI 1629888490 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1629888490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1200 Fodie Rd
Quitman, GA 31643-5663 - Phone
- (229) 460-6360
- NPI assigned
- Jan 13, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1200 Fodie Rd
Quitman, GA 31643-5663
Mailing address
1200 Fodie Rd
Quitman, GA 31643-5663
Phone (229) 460-6360
NPI Registry JSON
{
"created_epoch": "1736726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1629888490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 FODIE RD",
"city": "QUITMAN",
"state": "GA",
"postal_code": "316435663",
"telephone_number": "229-460-6360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 FODIE RD",
"city": "QUITMAN",
"state": "GA",
"postal_code": "316435663",
"telephone_number": "229-460-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "PAYTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-13",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quitman, GA
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- Whitney Elise McCloud
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All providers in Quitman, GA · Student in an Organized Health Care Education/Training Program in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.