Individual provider Active NPI

Bendu Jaycee Payton, NP-C

  • Adult Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1861732265
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN175549 Issued in GA
Practice address
6160 Peachtree Dunwoody Rd NE
Suite A100
Atlanta, GA 30328-4578
Phone
(404) 236-7555
NPI assigned
Feb 21, 2013
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN175549 GA Primary

Addresses

Primary practice location

6160 Peachtree Dunwoody Rd NE
Suite A100
Atlanta, GA 30328-4578

Mailing address

357 Old Arch LN
Fairburn, GA 30213-4826
Phone (770) 362-6068

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180622002330 GA Practitioner - Nurse Practitioner 9335494848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 458-0809

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1861732265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 OLD ARCH LN",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134826",
            "telephone_number": "770-362-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6160 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE A100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284578",
            "telephone_number": "404-236-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYTON",
        "first_name": "BENDU",
        "middle_name": "JAYCEE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN175549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.