Active NPI
Kaitlynn Danielle Payden, PA-C
- Physician Assistant
- Fuquay Varina, NC
National Provider Identifier
1770133084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2101 Colorwood CT
Fuquay Varina, NC 27526-7245 - Phone
- (606) 207-7077
- NPI assigned
- Sep 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
2101 Colorwood CT
Fuquay Varina, NC 27526-7245
Mailing address
2101 Colorwood CT
Fuquay Varina, NC 27526-7245
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cfvhs Ed Physicians | Current | Accepting new patients |
Locations
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Fayetteville, NC
- NPI 1215931589
-
- Emergency Medicine Physician
- Dunn, NC
- NPI 1477508836
-
- Emergency Medicine Physician
- Raeford, NC
- NPI 1790183184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737849600000",
"number": "1770133084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 COLORWOOD CT",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 COLORWOOD CT",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275267245",
"telephone_number": "606-207-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYDEN",
"first_name": "KAITLYNN",
"middle_name": "DANIELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-18",
"last_updated": "2025-01-26",
"certification_date": "2025-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fuquay Varina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.