NPIMap

Individual provider Active NPI

Charles Frederick Payne, MD

  • Internal Medicine Physician
  • Mechanicsville, VA
National Provider Identifier
1902872880
Registry record updated May 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101228707 Issued in VA
Practice address
7041 Lee Park Rd
Mechanicsville, VA 23111-3682
Phone
(804) 746-3505
Fax
(804) 723-3344
NPI assigned
Feb 28, 2006
Last updated
May 13, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101228707 VA Primary

Addresses

Primary practice location

7041 Lee Park Rd
Mechanicsville, VA 23111-3682

Mailing address

7041 Lee Park Rd
Mechanicsville, VA 23111-3682
Phone (804) 746-3505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000975 VA Practitioner - Internal Medicine 4587734132 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Virginia Commonwealth University, School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Richmond Primary Care LLCGroup PAC ID 3476986613, 91 clinicians

Practice addresses (Care Compare)

1362 Tappahannock Blvd
Tappahannock, VA 22560-9309
Phone (804) 443-5378

7041 Lee Park Rd
Mechanicsville, VA 23111-3682
Phone (804) 746-3505

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101228707VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours - Memorial Regional Medical Center, Inc. CurrentSince Apr 16, 2017 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC CurrentSince Apr 16, 2017 Accepting new patients
Bon Secours Medical Group Richmond Primary Care LLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Memorial Regional Medical Center LLC Current Accepting new patients
Mooresville Hma Physician Management, Inc. Internal Medicine Past Accepting new patients
Piedmont Healthcare, PA Past Accepting new patients
Commonwealth Counseling Associates Inc Past Accepting new patients
Amarillo Medical Group LLC PastSince Apr 28, 2008 Accepting new patients

Locations

1041 Sharon Rd
Ste 205
King William, VA 23086
Phone (804) 746-1677

7041 Lee Park Rd
Mechanicsvlle, VA 23111
Phone (804) 723-3337

4630 S Laburnum Ave
Richmond, VA 23231
Phone (804) 226-2444

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

1362 Tappahannock Blvd
Tappahannock, VA 22560
Phone (804) 443-5378

Organizations & group practices 8

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.

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1902872880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7041 LEE PARK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113682",
            "telephone_number": "804-746-3505",
            "fax_number": "804-723-3344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 LEE PARK RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231113682",
            "telephone_number": "804-746-3505",
            "fax_number": "804-723-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "CHARLES",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101228707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.