Individual provider Active NPI

Douglas Glenn Payne, DC

  • Chiropractor
  • Rocky Mount, VA
National Provider Identifier
1942496831
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104001220 Issued in VA
Practice address
1035 Franklin St
Suite 202
Rocky Mount, VA 24151-1280
Phone
(540) 556-0069
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104001220 VA Primary

Addresses

Primary practice location

1035 Franklin St
Suite 202
Rocky Mount, VA 24151-1280

Mailing address

1035 Franklin St
Suite 202
Rocky Mount, VA 24151-1280
Phone (540) 556-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000482 VA Practitioner - Chiropractic 9830262203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1035 Franklin St
Suite 202
Rocky Mount, VA 24151-1280
Phone (540) 489-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced Choice Chiropractic & Acupuncture Chiropractor CurrentSince Oct 5, 2007 Accepting new patients
Tuck Chiropractic Corporation Chiropractor PastSince Jun 26, 2017 Accepting new patients

Locations

1035 Franklin St
Ste 202
Rocky Mount, VA 24151
Phone (540) 489-1300

Organizations & group practices 2

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": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190592000000",
    "number": "1942496831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 FRANKLIN ST",
            "address_2": "SUITE 202",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511280",
            "telephone_number": "540-556-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 FRANKLIN ST",
            "address_2": "SUITE 202",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511280",
            "telephone_number": "540-556-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DOUGLAS",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104001220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.