Active NPI
Erika Ammons Payne, LAT, ATC
- Athletic Trainer
- Gordo, AL
National Provider Identifier
1881337293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 285
- Practice address
- 219 Industrial Park St
Gordo, AL 35466-2068 - Phone
- (205) 364-1003
- Fax
- (205) 364-1006
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 285 | AL | Primary |
Addresses
Primary practice location
219 Industrial Park St
Gordo, AL 35466-2068
Mailing address
92 McFarland Blvd
Northport, AL 35476-3348
Phone (205) 344-9161
Other practice location 1
92 McFarland Blvd
Northport, AL 35476-3348
Phone (205) 344-9161
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | ||
| CONNECT URL | N/A |
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 |
|---|---|---|---|
| 285 | AL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649894400000",
"number": "1881337293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 MCFARLAND BLVD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "354763348",
"telephone_number": "205-344-9161",
"fax_number": "205-344-9256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 INDUSTRIAL PARK ST",
"city": "GORDO",
"state": "AL",
"postal_code": "354662068",
"telephone_number": "205-364-1003",
"fax_number": "205-364-1006"
}
],
"practiceLocations": [
{
"address_1": "92 McFarland Blvd",
"address_purpose": "LOCATION",
"city": "Northport",
"state": "AL",
"postal_code": "354763348",
"country_code": "US",
"telephone_number": "205-344-9161",
"fax_number": "205-344-9256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAYNE",
"first_name": "ERIKA",
"middle_name": "AMMONS",
"name_prefix": "Mrs.",
"credential": "LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2022-04-14",
"certification_date": "2022-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AL",
"license": "285",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "219 Industrial Park St",
"city": "Gordo",
"state": "AL",
"country_code": "US",
"postal_code": "354662068",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"address_1": "219 Industrial Park St",
"city": "Gordo",
"state": "AL",
"country_code": "US",
"postal_code": "354662068",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gordo, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.