Active NPI
Marcenia Larena Payne, LMSW
- Counselor
- East Point, GA
National Provider Identifier
1861699209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MSW004203
- Practice address
- 2380 Delowe Dr
Suite 1
East Point, GA 30344-2154 - Phone
- (404) 761-7915
- Fax
- (404) 761-2784
- NPI assigned
- Jun 29, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | MSW004203 | GA | Primary |
Addresses
Primary practice location
2380 Delowe Dr
Suite 1
East Point, GA 30344-2154
Mailing address
399 Langshire Dr
McDonough, GA 30253-8051
Phone (678) 289-0713
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW004203 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861699209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "399 LANGSHIRE DR",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538051",
"telephone_number": "678-289-0713",
"fax_number": "879-289-9582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2380 DELOWE DR",
"address_2": "SUITE 1",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303442154",
"telephone_number": "404-761-7915",
"fax_number": "404-761-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MARCENIA",
"middle_name": "LARENA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "MSW004203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.