Active NPI
Jeffrey E Payne, DC
- Chiropractor
- Statesville, NC
National Provider Identifier
1699726679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1997
- Practice address
- 126 S Tradd St
Statesville, NC 28677-5863 - Phone
- (704) 838-0990
- Fax
- (704) 838-0678
- NPI assigned
- May 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1997 | NC | Primary |
Addresses
Primary practice location
126 S Tradd St
Statesville, NC 28677-5863
Mailing address
215 W Broad St
Statesville, NC 28677-5259
Phone (704) 838-0990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6908707 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
215 A W Broad St
Statesville, NC 28677-5259
Phone (704) 838-0990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Payne Chiropractic Center PA | Chiropractor | Current | Accepting new patients |
Locations
215 W Broad St
Statesville, NC 28677
Phone (704) 838-0990
215 W Broad St
Ste A
Statesville, NC 28677
Phone (704) 838-0990
126 S Tradd St
Statesville, NC 28677
Phone (704) 838-0990
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.
-
- Chiropractor
- Statesville, NC
- NPI 1093765984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699726679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W BROAD ST",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286775259",
"telephone_number": "704-838-0990",
"fax_number": "704-838-0678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S TRADD ST",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286775863",
"telephone_number": "704-838-0990",
"fax_number": "704-838-0678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JEFFREY",
"middle_name": "E",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6908707",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.