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BLAINE PAYNE INC NPI 1770943409


NPI Information

NPI: 1770943409
Provider Name: BLAINE PAYNE, INC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 10D2110117

Address:
180 NW HAYNES ST
MADISON, FL
ZIP 32340
Phone: (850) 973-1215
Get Directions

BLAINE PAYNE, INC is a geriatric medicine family medicine in Madison, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. BLAINE PAYNE, INC NPI is 1770943409. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 NW HAYNES ST
MADISON, FL
ZIP 32340-010
Phone: (850) 973-1215
Fax: (866) 923-4163

The provider's authorized official is Tammey Revels .
The authorized official title is Business Manager and has the following contact phone number (850) 973-1215.

The CLIA number assigned to this NPI record is 10D2110117 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2016 and was last updated on 6/30/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineOS9255FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1272752800MEDICAIDFLORIDA
2HUMANAOTHERHUMANA
3SXJQYOTHERBCBS
445245ZMEDICARE UPIN
537137OTHERBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.