Active NPI
Gregory Payne, MD
- Internal Medicine Physician
- Dayton, OH
National Provider Identifier
1922799543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 57.256859
- Practice address
- 30 E Apple St FL 6
Dayton, OH 45409-2939 - Phone
- (937) 405-8823
- NPI assigned
- May 16, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 57.256859 | OH | Primary |
Addresses
Primary practice location
30 E Apple St FL 6
Dayton, OH 45409-2939
Mailing address
1140 Baytowne Dr Apt 22
Champaign, IL 61822-6927
Phone (937) 405-8823
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240603003237 | OH | Order and Referring Only - Internal Medicine | 0547702722 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.256859 | OH | MD | Internal Medicine Physician |
Interoperability endpoints
- gpaynemd374717@carlehiedirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714176000000",
"number": "1922799543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 BAYTOWNE DR APT 22",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618226927",
"telephone_number": "937-405-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST FL 6",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-405-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-16",
"last_updated": "2024-04-27",
"certification_date": "2024-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.256859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.