Individual provider Active NPI

Lindsey Micayla Payne, PA-C

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1700343787
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3813 Issued in TN
Practice address
4117 E Emory Rd
Knoxville, TN 37938-4229
Phone
(865) 922-2121
Fax
(833) 908-2092
NPI assigned
Feb 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3813 TN
Physician Assistant 363A00000X 3813 TN Primary

Addresses

Primary practice location

4117 E Emory Rd
Knoxville, TN 37938-4229

Mailing address

1275 Dick Lonas Rd Unit 101
Knoxville, TN 37909-1383
Phone (865) 584-4747

Other practice location 1

6537 Kingston Pike
Knoxville, TN 37919
Phone (865) 558-9822

Other practice location 2

6537 Kingston Pike
Knoxville, TN 37919
Phone (865) 558-9822

Other names 1

  • Lindsey Micayla Hill Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190516002873 TN Practitioner - Physician Assistant 2668715509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Institute of Dermatology PLLCGroup PAC ID 7719072644, 13 clinicians

Practice addresses (Care Compare)

1018 Hwy 321 N
Lenoir City, TN 37771-6683
Phone (865) 450-9361

6516 Kingston Pike
Knoxville, TN 37919-4825
Phone (865) 450-9361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3813TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group, PLLC CurrentSince Mar 18, 2019 Accepting new patients
Summit Medical Group, PLLC CurrentSince Mar 18, 2019 Accepting new patients

Locations

6537 Kingston Pike
Knoxville, TN 37919
Phone (865) 558-9822

1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627

1275 Dick Lonas Rd
Unit 101
Knoxville, TN 37909

4117 E Emory Rd
Knoxville, TN 37938
Phone (865) 922-2121

2125 W Emory Rd
Powell, TN 37849
Phone (865) 938-5911

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1700343787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 DICK LONAS RD UNIT 101",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091383",
            "telephone_number": "865-584-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 E EMORY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379384229",
            "telephone_number": "865-922-2121",
            "fax_number": "833-908-2092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6537 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37919",
            "country_code": "US",
            "telephone_number": "865-558-9822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6537 Kingston Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "37919",
            "country_code": "US",
            "telephone_number": "865-558-9822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "LINDSEY",
        "middle_name": "MICAYLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "3813",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "HILL",
            "middle_name": "MICAYLA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.