DR. KERRY DANIEL PAYNE (NPI# 1184713406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184713406 |
| Entity Type | Individual |
| Full Name | DR. KERRY DANIEL PAYNE |
| Credential | M.D. |
| Practice Address |
1899 Tate Blvd Se Ste 1105 Hickory NC 28602-4200 |
| Mailing Address |
875 20th Avenue Dr Nw Hickory NC 28601-1229 |
| Practice Telephone | 8283223821 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2013-01-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME110975 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD29764 | AL | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
43145 | TN | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
2008-00376 | NC | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
26429 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
1899 TATE BLVD SE STE 1105 |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922004852 | Piedmont Pathology Associates Inc | Physiological Laboratory | 1899 Tate Blvd Se, Ste 1105, Hickory, NC 28602-4200 | 2005-06-24 |
| 1093250904 | Pediatric Housecall Services Pllc | Pediatrics | 1899 Tate Blvd Se, Suite 2108, Hickory, NC 28602-4200 | 2017-01-01 |
| 1619394962 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 1899 Tate Blvd Se, Suite 2102, Hickory, NC 28602-4200 | 2014-03-25 |
| 1033459532 | Carolina Emg Specialists | Physical Therapist | 1899 Tate Blvd Se, Suite 2108, Hickory, NC 28602-4200 | 2013-02-20 |
| 1780909341 | Laboratory Corporation of America Holding | Clinical Medical Laboratory | 1899 Tate Blvd Se, Ste 1105-a, Hickory, NC 28602-4200 | 2010-04-07 |
| 1346408101 | Lindsay Marie Bools | Surgery | 1899 Tate Blvd Se, Hickory, NC 28602-4200 | 2008-05-29 |
| 1194998781 | Piedmont Pathology Associates Inc | Physiological Laboratory | 1899 Tate Blvd Se, Suite 1105, Hickory, NC 28602-4200 | 2008-04-04 |
| 1225214216 | Kristine R Baker | Nurse Practitioner | 1899 Tate Blvd Se, Ste 2101, Hickory, NC 28602-4200 | 2008-01-21 |
| 1760666481 | E Gary Mcdougal, Md, Pllc | Surgery | 1899 Tate Blvd Se, Suite 2106, Hickory, NC 28602-4200 | 2007-12-18 |
| 1649461914 | Piedmont Pathology Associates | Clinical Medical Laboratory | 1899 Tate Blvd Se, Suite 1105, Hickory, NC 28602-4200 | 2007-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912199399 | Toby Eugene Foster | Pathology | 1899 Tate Blvd Se Ste 105, Hickory, NC 28602-4200 | 2007-08-09 |
| 1518914837 | Eric Williams Pittman | Pathology | 1899 Tate Blvd Se, Suite 1105, Hickory, NC 28602-4200 | 2006-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484965 | Azad Bakht | Pathology | Medical Center Boulevard Department of Pathology, Winston Salem, NC 27157-0001 | 2020-07-10 |
| 1316401375 | Celligent Diagnostics, LLC | Pathology | 101 E W T Harris Blvd Ste 1212, Charlotte, NC 28262-3423 | 2019-01-24 |
| 1487170387 | Coastal Carolina Pathology, Pa | Pathology | 2606 Iron Gate Dr Ste 201, Wilmington, NC 28412-2494 | 2017-08-22 |
| 1134651748 | Elsa Mondou | Pathology | 6008 Bunchberry Ct, Raleigh, NC 27616-5454 | 2017-04-02 |
| 1578910006 | Jennifer Michelle Crimmins | Pathology | Dumc 3712, Durham, NC 27710-4220 | 2016-05-13 |
| 1407237811 | Cori Breslauer | Pathology | Pathology and Lab Medicine, Bbb Cb 7525, Chapel Hill, NC 27599-7525 | 2015-06-11 |
| 1548668338 | Cheryl Levine | Pathology | 1740 Montclair Ave, Gastonia, NC 28054-4848 | 2014-12-11 |
| 1396005369 | Bart B Singer | Pathology | Unc Pathology Cb 7525 Brinkhous-bullitt Building, Chapel Hill, NC 27599-7525 | 2012-05-23 |
| 1750670279 | Nathan Samuel Cuka | Pathology | 3333 Silas Creek Pkwy Fl 1, Winston Salem, NC 27103-3013 | 2011-04-05 |
| 1669790994 | Sara Elizabeth Wobker | Pathology | 303 Brinkhouse Bullitt Bldg, Department of Pathology, Cb# 7525, Chapel Hill, NC 27599-7525 | 2010-05-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.