Active NPI
Dolly Fay Payne
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Decatur, GA
National Provider Identifier
1740705672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- License
- RN104376
- Practice address
- 2591 Candler Rd
Decatur, GA 30032-6502 - Phone
- (678) 209-2710
- NPI assigned
- Aug 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN104376 | GA | Primary |
Addresses
Primary practice location
2591 Candler Rd
Decatur, GA 30032-6502
Mailing address
2591 Candler Rd
Decatur, GA 30032-6502
Phone (678) 209-2710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN104376 | GA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1740705672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2591 CANDLER RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300326502",
"telephone_number": "678-209-2710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2591 CANDLER RD",
"city": "DECATUR",
"state": "GA",
"postal_code": "300326502",
"telephone_number": "678-209-2710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "DOLLY",
"middle_name": "FAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "GA",
"license": "RN104376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.