DAVID TAYLOR PAYNE IV (NPI# 1356863294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356863294 |
| Entity Type | Individual |
| Full Name | DAVID TAYLOR PAYNE IV |
| Other Name | MR. DAVID TAYLOR PAYNE IV |
| Credential | LAT, ATC |
| Practice Address |
105 Bob White Rd Kathleen GA 31047 |
| Mailing Address |
105 Bob White Rd Kathleen GA 31047-2513 |
| Practice Telephone | (478) 957-2535 |
| Mailing Telephone | 4789572535 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT003089 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740683473 | David Payne | Psychologist | 104 Huckleberry Ln, Dothan, AL 36303-1306 | 2014-10-08 |
| 1023374030 | David J Payne | Acupuncturist | 255 E Putnam Rd, Putnam, CT 06260-2826 | 2012-04-03 |
| 1376816280 | David Lavon Payne | General Practice | 6459 S River Dr, Tempe, AZ 85283-3337 | 2012-02-23 |
| 1063588168 | David Harvey Payne | Internal Medicine | 8082 E M 115, Cadillac, MI 49601-8122 | 2006-11-28 |
| 1760492193 | David Payne | Orthopaedic Surgery | 1530 E 1st St, Suite 216, Santa Ana, CA 92701-6342 | 2006-08-08 |
| 1295372548 | David Payne | Counselor | 115 W State St, North Baltimore, OH 45872-1332 | 2019-12-05 |
| 1619438306 | David Lee Payne | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16 Suny Stony Brook Hospital, Stony Brook, NY 11794-0001 | 2019-03-26 |
| 1215441464 | David Anthony Payne | Specialist/Technologist | Lsu Athletics Administration Building, Baton Rouge, LA 70803-0001 | 2017-11-27 |
| 1720510076 | David Payne | Community Health Worker | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2017-03-28 |
| 1225397698 | David Russell Payne | Counselor | 2796 Mack Rd, Fairfield, OH 45014-5129 | 2012-05-04 |
| Street Address |
105 BOB WHITE RD |
| City | KATHLEEN |
| State | GA |
| Zip Code | 31047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356955678 | Marica Lashone Sanders | Licensed Practical Nurse | 301 -3 Club Villa Court, Kathleen, GA 31047 | 2020-09-03 |
| 1841831583 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 660 Lake Joy Rd Ste D, Kathleen, GA 31047 | 2019-10-03 |
| 1679091805 | Georgia Dental Professionals, PC | Dentist | 674 Lake Joy Rd, Kathleen, GA 31047 | 2017-09-08 |
| 1811411812 | Sherri Rogers | Nurse Practitioner | 1470 Highway 247 South, Kathleen, GA 31047 | 2017-08-01 |
| 1669994786 | Stacie Knight | Dentist | 674 Lake Joy Road, Kathleen, GA 31047 | 2017-07-11 |
| 1922451913 | Georgia Family Eyecare LLC | Optometrist | 678 Lake Joy Rd., Suite B, Kathleen, GA 31047 | 2016-07-14 |
| 1326407453 | Southern Bridge Counseling, LLC | Community/Behavioral Health | 100 Shoshone Circle, Kathleen, GA 31047 | 2016-02-17 |
| 1982959615 | Magnolia Surgery, PC | Surgery | 1118 Highway 96 West, Suite 1, Kathleen, GA 31047 | 2012-07-18 |
| 1346454162 | Emergency Care At Lake Joy | Clinic/Center | 1118 Hwy 96 West Suite 1, Kathleen, GA 31047 | 2007-05-10 |
| 1629162219 | Kimberley Rhodes Ham | Family Medicine | 2510 Hwy 127, Houston Lake Medstop, Kathleen, GA 31047 | 2006-10-03 |
| Find all providers in zip 31047 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093336729 | Michael Minicozzi | Specialist/Technologist | 95 Duke Ln, Kathleen, GA 31047-3201 | 2020-05-05 |
| 1770065278 | Ilse Ballard | Specialist/Technologist | 210 Nickel Ct, Kathleen, GA 31047-2573 | 2018-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455959 | Mary Lee Richardson | Specialist/Technologist | 1591 Glenn Pl Sw, Mableton, GA 30126-1170 | 2020-10-25 |
| 1295332914 | Cayla Mckeon | Specialist/Technologist | 11 W 11th St Apt 17, Columbus, GA 31901-4239 | 2020-10-06 |
| 1205442472 | Si'ara Washington Farris | Specialist/Technologist | 564 Hillandale Park Dr, Lithonia, GA 30058-8833 | 2020-09-22 |
| 1033723150 | Grant Pheil | Specialist/Technologist | 3523 Old Penia Rd, Cordele, GA 31015-7714 | 2020-09-04 |
| 1376157933 | Jesus E Aviles | Specialist/Technologist | 755 Battery Ave Se, Atlanta, GA 30339-3017 | 2020-09-01 |
| 1588276943 | Jaden T Harris | Specialist/Technologist | 2205 Moncrieff St, Augusta, GA 30906-8905 | 2020-08-18 |
| 1891306437 | Tinasia Smalls | Specialist/Technologist | 100 Woodland Dr Apt 1416, Statesboro, GA 30458-6365 | 2020-08-16 |
| 1407467590 | Samantha Jean Libby | Specialist/Technologist | 2550 Akers Mill Rd Se Apt F14, Atlanta, GA 30339-3271 | 2020-08-12 |
| 1083224224 | John Christopher Hamil | Specialist/Technologist | 812 S Park St Ste 1, Carrollton, GA 30117-4412 | 2020-08-03 |
| 1780294926 | Andrew Alcantar | Specialist/Technologist | 7340 Fairmount Hwy Se, Calhoun, GA 30701-4023 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
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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.