Individual provider Active NPI

Victoria Mitchell Payne, M.D., M.S

  • Psychiatry Physician
  • Henderson, NC
National Provider Identifier
1730347634
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200300394 Issued in NC
Practice address
943 W Andrews Ave Ste H
Henderson, NC 27536-2562
Phone
(252) 433-0061
Fax
(252) 738-2460
NPI assigned
May 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 200300394 NC Primary

Addresses

Primary practice location

943 W Andrews Ave Ste H
Henderson, NC 27536-2562

Mailing address

943 W Andrews Ave Ste H
Henderson, NC 27536-2562
Phone (252) 433-0061

Other identifiers 1

IdentifierTypeStateIssuer
89134XPMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000620 NC Practitioner - Psychiatry 3577512508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wake Forest University School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

859 Washington St
Raleigh, NC 27605-3259
Phone (919) 828-9937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Associates of NC, PA Psychiatry CurrentSince Aug 2, 2018 Accepting new patients

Locations

859 Washington St
Raleigh, NC 27605
Phone (919) 828-9937

4011 Westchase Blvd
Ste 225
Raleigh, NC 27607
Phone (919) 828-9937

Interoperability endpoints

  • Direct secure messaging: vpayne@psychiatric-associates-o.direct.kno2fy.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1730347634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE STE H",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362562",
            "telephone_number": "252-433-0061",
            "fax_number": "252-738-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 W ANDREWS AVE STE H",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362562",
            "telephone_number": "252-433-0061",
            "fax_number": "252-738-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "VICTORIA",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-28",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200300394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89134XP",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.