Active NPI
Iliet Payan, DO
- Family Medicine Physician
- Clinton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023-00834
- Practice address
- 603 Beaman St Ste 502
Clinton, NC 28328-2650 - Phone
- (910) 590-8050
- NPI assigned
- Mar 26, 2021
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2023-00834 | NC | Primary |
Addresses
Primary practice location
603 Beaman St Ste 502
Clinton, NC 28328-2650
Mailing address
607 Beaman St
Clinton, NC 28328-2603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ipayan@sampsonrmc.org | Direct | Sampson Regional Professional Services LLC. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Campbell Univ School of Osteopathic Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christ Community Health Services Inc.
Practice addresses (Care Compare)
3362 S 3Rd St
Memphis, TN 38109-2944
Phone (901) 271-6300
603 Beaman St
Suite 502
Clinton, NC 28328-2650
Phone (910) 590-8050
Hospital & facility affiliations
- Sampson Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5736 | TN | MD | Clinical Social Worker |
| 2023-00834 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christ Community Health Services Inc | Current | Accepting new patients | |
| Christ Community Health Services Inc | Current | Accepting new patients | |
| Christ Community Health Services Inc | Past | Accepting new patients | |
| Christ Community Health Services Inc | Past | Accepting new patients |
Locations
969 Frayser Blvd
Memphis, TN 38127
Phone (901) 260-8400
2670 Union Avenue Ext
Ste 1000
Memphis, TN 38112
Phone (901) 842-3160
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BJCIAD
- https://fhir4.healow.com/fhir/r4/IJJDAA
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Clinton, NC
- NPI 1730311648
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1982686614
-
- Federally Qualified Health Center (FQHC)
- Jackson, TN
- NPI 1871299297
-
- Federally Qualified Health Center (FQHC)
- Memphis, TN
- NPI 1053572206
-
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1891837290
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clinton, NC
- NPI 1609857432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1861079840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 BEAMAN ST STE 502",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282650",
"telephone_number": "910-590-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYAN",
"first_name": "ILIET",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-26",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2023-00834",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ipayan@sampsonrmc.org",
"affiliation": "Y",
"endpointDescription": "Sampson Medical Group Direct Address",
"affiliationName": "Sampson Regional Professional Services LLC.",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "516 Beaman St",
"city": "Clinton",
"state": "NC",
"country_code": "US",
"postal_code": "283282602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.
- 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.