Organization Active NPI

Payne and Holloway

  • Pediatrics Physician
  • Montgomery, AL
National Provider Identifier
1770026619
Registry record updated Nov 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8318 Issued in AL
Legal business name
PAYNE AND HOLLOWAY
Practice address
7006 Fulton CT
Montgomery, AL 36117-8022
Phone
(334) 244-7209
Fax
(334) 244-6604
NPI assigned
Nov 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2016

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

Authorized official

Name
Dr. Albert Z Holloway, MD
Title
Owner
Phone
(334) 244-7209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X 8318 AL Primary

Addresses

Primary practice location

7006 Fulton CT
Montgomery, AL 36117-8022

Mailing address

687 Timberlane Rd
Pike Road, AL 36064-2231
Phone (334) 244-7209

Other identifiers 1

IdentifierTypeStateIssuer
000009675MedicaidAL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0304297Payne and Holloway7006 Fulton Court, Montgomery, AL 36117Certificate of waiverJul 11, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480118400000",
    "number": "1770026619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 TIMBERLANE RD",
            "city": "PIKE ROAD",
            "state": "AL",
            "postal_code": "360642231",
            "telephone_number": "334-244-7209",
            "fax_number": "334-244-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 FULTON CT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361178022",
            "telephone_number": "334-244-7209",
            "fax_number": "334-244-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYNE AND HOLLOWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-11-26",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-244-7209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "8318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000009675",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.