Gillis L. Payne, Jr., M.D., P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GILLIS L. PAYNE, JR., M.D., P.C.

Practice address

7006 Fulton Court
Montgomery, AL 36117

Phone

(334) 244-7209

Fax

(334) 244-6604

NPI assigned

Oct 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gillis L. Payne Jr., M.D.NPI 1083602965

Title

Physician/Owner

Phone

(334) 244-7209

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gillis L Payne Jr., M.D.

  • Pediatrics Physician
  • Montgomery, AL
  • NPI 1083602965

  Pediatrics

  NPD (past) Authorized official

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

{
    "created_epoch": "1256688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1942536867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 FULTON COURT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-244-7209",
            "fax_number": "334-244-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 FULTON COURT",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-244-7209",
            "fax_number": "334-244-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIS L. PAYNE, JR., M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-28",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "GILLIS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "334-244-7209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51004903",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000004903",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gift of Life Foundation
• Amin B. Gilani, M.D.
• Taylor Marie Gilbreath, DDS
• Asjia Marion Bethany Gilder, PHARMD
• Jennifer Gilley, ALC
• Mary Ann Gilmore-Taite
• Richard Ginsburg, D.O.
• Leondra Latrice Gipson, LPC
• Tasheka D Gipson
• Tomeka Danelly Gipson, RN

• All providers in Montgomery, AL
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.