James N Payne NP-C LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R865473 Issued in MS

Legal business name

JAMES N PAYNE NP-C LLC

Practice address

5090 Gautier Vancleave Rd
Gautier, MS 39553-4803

Phone

(228) 522-6700

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Sonja Sharp Watkins

Title

Cfo

Phone

(601) 824-9010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1730699406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106A OFFICE PARK DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390422404",
            "telephone_number": "601-824-9010",
            "fax_number": "601-824-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 GAUTIER VANCLEAVE RD",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395534803",
            "telephone_number": "228-522-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Dunbar Ave",
            "address_purpose": "LOCATION",
            "city": "Bay St Louis",
            "state": "MS",
            "postal_code": "395202920",
            "country_code": "US",
            "telephone_number": "228-466-3099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES N PAYNE NP-C LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "SHARP",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "601-824-9010"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R865473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Suzanne Hyatt, M.S. LPC
• Margaret Elizabeth Ingram, BS PCCSS
• Ammeria Lenae Jackson, B.S. PSYCHOLOGY
• Hubert M Jackson Jr., MS NCC NCSC
• Tarjilyn M Jackson, BSN,RN
• Jasmine James, B.S.
• Katina Monique James, B.A.
• Anthony James Jimerson, BS
• JMK Medical Group LLC
• Amanda L Johns, MS

• Nurse Practitioner in Gautier, MS
• Providers in Gautier, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.