David Hansell Paine, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

028618 Issued in GA

Practice address

205 Arlington Dr
Vidalia, GA 30474-7209

Phone

(912) 537-2530

Fax

(912) 537-2540

NPI assigned

Jun 15, 2006

Last updated

Nov 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cardiology Associates of Vidalia, P.C.

  • Interventional Cardiology Physician
  • Vidalia, GA
  • NPI 1356530901
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1750325452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ARLINGTON DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747209",
            "telephone_number": "912-537-2530",
            "fax_number": "912-537-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ARLINGTON DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304747209",
            "telephone_number": "912-537-2530",
            "fax_number": "912-537-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "DAVID",
        "middle_name": "HANSELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "028618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1750325452",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Justin Osborne, M.D.
• Lyn Brown Oxley, OD
• Mark William Oxley, DMD
• Ramachandra R Paidi, M.D
• Pain Treatment Centers of Georgia LLC
• Paula Rajendra Patel-Drewry, MD
• Ravi J Patel, MD
• Rohit Govindbhai Patel, RPH
• Paul Anderson Family Strong Center, Inc.
• Paul Anderson Youth Home, Inc.

• Internal Medicine Physician in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.