Active NPI
Andrew Payne, D.C.
- Chiropractor
- Acworth, GA
National Provider Identifier
1982051462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR009641
- Practice address
- 4365 S Main St
Acworth, GA 30101-5542 - Phone
- (770) 529-0566
- NPI assigned
- May 16, 2016
- Last updated
- Dec 12, 2022
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR009641 | GA | Primary |
Addresses
Primary practice location
4365 S Main St
Acworth, GA 30101-5542
Mailing address
4365 S Main St
Acworth, GA 30101-5542
Phone (706) 224-2924
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drpayne@lakecitychiropractic.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4500 S Main St
Suite 104
Acworth, GA 30101-5400
Phone (706) 224-2924
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR009641 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Payne Center PC | Chiropractor | Current | Accepting new patients |
| Lake City Chiropractic Center | Chiropractor | Past | Accepting new patients |
Locations
4365 S Main St
Acworth, GA 30101
Phone (770) 529-0566
4500 S Main St
Ste 104
Acworth, GA 30101
Phone (706) 224-2924
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.
-
- Chiropractor
- Acworth, GA
- NPI 1164879029
-
- Chiropractor
- Acworth, GA
- NPI 1881962942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1982051462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4365 S MAIN ST",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015542",
"telephone_number": "706-224-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4365 S MAIN ST",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301015542",
"telephone_number": "770-529-0566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "ANDREW",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-16",
"last_updated": "2022-12-12",
"certification_date": "2022-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR009641",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "drpayne@lakecitychiropractic.com",
"affiliation": "N",
"endpointDescription": "Dr Payne's email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "4365 S Main St",
"city": "Acworth",
"state": "GA",
"country_code": "US",
"postal_code": "301015542",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.