Individual provider Active NPI

S Houston Payne Jr., M.D.

  • Orthopaedic Hand Surgery Physician
  • Atlanta, GA
National Provider Identifier
1811913643
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
034218 Issued in GA
Practice address
2061 Peachtree Rd. NE
Suite 500
Atlanta, GA 30309-1446
Phone
(404) 352-3522
Fax
(404) 352-9251
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X 034218 GA Primary

Addresses

Primary practice location

2061 Peachtree Rd. NE
Suite 500
Atlanta, GA 30309-1446

Mailing address

2061 Peachtree Rd NE.
Suite 500
Atlanta, GA 30309-1446
Phone (404) 352-3522

Other identifiers 1

IdentifierTypeStateIssuer
00623752AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040615001136 GA Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 3870582000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
University of Tennessee, HSC, College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Hand , Shoulder and Elbow PCGroup PAC ID 5193712982, 22 clinicians

Practice addresses (Care Compare)

2061 Peachtree Rd NE
Suite 500
Atlanta, GA 30309-1446
Phone 40435235221026

620 Cherokee St NE
Suite 200
Marietta, GA 30060-7225
Phone (770) 795-7979

Hospital & facility affiliations

  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Surgical Center on Peachtree, LLC Current Accepting new patients
Georgia Hand , Shoulder & Elbow PC Hand Surgery CurrentSince Aug 1, 1994 Accepting new patients
Aga Clinical Services, LLC Past Accepting new patients

Locations

2061 Peachtree Rd NE
Ste 500
Atlanta, GA 30309
Phone (404) 352-3522

1819 Peachtree Rd NE
Ste 425
Atlanta, GA 30309
Phone (404) 352-3522

790 Church St NE
Ste 500
Marietta, GA 30060
Phone (678) 686-5859

620 Cherokee St NE
Ste 200
Marietta, GA 30060
Phone (770) 795-7979

Interoperability endpoints

  • Direct secure messaging: samuel.payne.1@5080.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5080/brand/2/csg/22/fhir/r4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1811913643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2061 PEACHTREE RD NE.",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091446",
            "telephone_number": "404-352-3522",
            "fax_number": "404-352-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 PEACHTREE RD. NE",
            "address_2": "SUITE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091446",
            "telephone_number": "404-352-3522",
            "fax_number": "404-352-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "S",
        "middle_name": "HOUSTON",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "GA",
            "license": "034218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00623752A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.