MR. GERALD E PAYNE (NPI# 1790763449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790763449 |
| Entity Type | Individual |
| Full Name | MR. GERALD E PAYNE |
| Other Name | GERRY PAYNE |
| Credential | PA-C |
| Practice Address |
286 Us Highway 23 N Suite 102 Prestonsburg KY 41653-8732 |
| Mailing Address |
2465 Woodfield Cir Lexington KY 40515-1224 |
| Practice Telephone | 6068740032 |
| Practice Fax Number | 6068740064 |
| Mailing Telephone | 8592727573 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2015-01-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA406 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA406 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA406 | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 95002226 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407821366 | Gerald Gene Payne Jr. | Obstetrics & Gynecology | 1600 W College St, Ste 210, Grapevine, TX 76051-3580 | 2006-02-22 |
| Street Address |
286 US HIGHWAY 23 N SUITE 102 |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-8732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518582675 | Cornerstone Care Associates | Pharmacy | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2020-06-14 |
| 1063810091 | Renew Addiction Treatment Center | Internal Medicine | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2014-12-08 |
| 1841697398 | Renew Labs, LLC | Clinical Medical Laboratory | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2014-11-28 |
| 1336579796 | Candace Engle | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2013-11-22 |
| 1285976621 | Rhonda Michelle Hoskins | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2013-03-25 |
| 1275827495 | Louisa Elizabeth Farley | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2011-06-06 |
| 1447576103 | Mark J Martin | Nurse Practitioner | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2010-04-20 |
| 1407004880 | Demosthenes N Sarlis | Physical Medicine & Rehabilitation | 286 Us Highway 23 N, Prestonsburg, KY 41653-8732 | 2008-08-28 |
| 1477665321 | Kentucky Pain Physicians | Non-Pharmacy Dispensing Site | 286 Us Highway 23 N, Ste 102, Prestonsburg, KY 41653-8732 | 2006-08-31 |
| 1477589463 | Robert B Hays | Physician Assistant | 286 Us Highway 23 N, Suite 102, Prestonsburg, KY 41653-8732 | 2006-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700255668 | Kimberlee Byrd | Physician Assistant | 253 University Dr, Suite 100, Prestonsburg, KY 41653-1016 | 2015-09-22 |
| 1467555839 | Lora Leigh Conley | Physician Assistant | 535 N Lake Dr, Prestonsburg, KY 41653-1278 | 2006-09-07 |
| 1790788180 | James A Dalton | Physician Assistant | 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653 | 2005-05-31 |
| 1821641036 | Arh Tug Valley Health Services, Inc. | Physician Assistant | 400 University Dr, Prestonsburg, KY 41653-1080 | 2019-07-17 |
| 1366094195 | David Seth Adams | Physician Assistant | 1279 Old Abbott Mountain Rd, Prestonsburg, KY 41653 | 2019-07-11 |
| 1730748229 | Arh Tug Valley Health Services, Inc. | Physician Assistant | 400 University Dr Ste 212b, Prestonsburg, KY 41653-1080 | 2019-06-10 |
| 1700445319 | Arh Tug Valley Health Services, Inc. | Physician Assistant | 5000 Ky Route 321 Ste 3141, Prestonsburg, KY 41653-9113 | 2019-06-07 |
| 1518482918 | Nakeesha M Layne | Physician Assistant | 4851 Ky Route 321, Prestonsburg, KY 41653-9113 | 2017-08-07 |
| 1760834345 | Floyd Emergency Group, LLC | Physician Assistant | 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 2016-07-07 |
| 1942554068 | Prestonsburg Primary Care Pllc | Physician Assistant | 535 N Lake Dr, Prestonsburg, KY 41653-1278 | 2012-10-29 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on MR. GERALD E PAYNE.
| 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.