Individual provider Active NPI

Iliet Payan, DO

  • Family Medicine Physician
  • Clinton, NC
National Provider Identifier
1861079840
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-00834 Issued in NC
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

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241024001610 TN Practitioner - Family Practice 0446783807 Reassigns benefits to 1 organization
I20260415001088 NC Practitioner - Obstetrics/Gynecology 0446783807 Reassigns benefits to 1 organization

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.Group PAC ID 3870402084, shared by 13 NPIs, 61 clinicians
Sampson Regional Professional Services LLCGroup PAC ID 6406992817, 18 clinicians

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 Hospital, Clinton, NC, CCN 340024

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5736TNMDClinical Social Worker
2023-00834NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Community Health Services Inc CurrentSince Sep 24, 2024 Accepting new patients
Christ Community Health Services Inc CurrentSince Sep 24, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BJCIAD
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.