Payne, James R

Payne, James R is an individual health care provider with primary practice located at 1 Meadows Pkwy , Vidalia GA 30474-8759. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Payne, James R can be contacted via phone (912) 454-7012.

Contact Information

Primary practice address
1 Meadows Pkwy Vidalia GA 30474-8759
Phone: (912) 454-7012
Fax: (866) 871-8565
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004295 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4295 Georgia

Profile Details

NPI number 1114912524
LBN Legal business name Payne, James R
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Dec 30th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114912524 NPPES
Georgia MEDICAID 576258321A

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