Gerald E Payne, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA406 Issued in KY

Practice address

286 US Highway 23 N
Suite 102
Prestonsburg, KY 41653-8732

Phone

(606) 874-0032

Fax

(606) 874-0064

NPI assigned

Jan 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Gerry Payne Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Baptist Health Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Louisville, KY
  • NPI 1073890695

  Physician Assistant

  NPD (past)
• North Lexington Urgent Treatment Associates PSC

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1396724092

  Medical

  NPD (past)
• Our Lady of the Way Hospital, Inc

  • Family Medicine Physician
  • Martin, KY
  • NPI 1255357364
  NPD (past)
• Validus Health, PLLC

  • Specialist
  • Louisville, KY
  • NPI 1982657813
  NPD (past)
• Acute Care Specialists, Inc.

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1447294640
  NPD (past)

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1790763449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 WOODFIELD CIR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151224",
            "telephone_number": "859-272-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 US HIGHWAY 23 N",
            "address_2": "SUITE 102",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538732",
            "telephone_number": "606-874-0032",
            "fax_number": "606-874-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "GERALD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA406",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "PA406",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95002226",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERRY",
            "last_name": "PAYNE",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rita Pauley-Barker
• Danita Pauley
• James Pauley
• Lisa Paxton, LPCC
• Dionsoylo Payne
• Vaughn Payne, MD
• Laura A. Pearson, LPCC
• Felicia Pecina
• Jodi Peck
• Marcie Peel, MHA

• Medical Physician Assistant in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Medical Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.