DR. LARRY JEFFREY PAYNE (NPI# 1366504474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366504474 |
| Entity Type | Individual |
| Full Name | DR. LARRY JEFFREY PAYNE |
| Credential | M.D. |
| Practice Address |
1485 Jesse Jewell Parkway Ne Suite 100 Gainesville GA 30501 |
| Practice Telephone | 7705341711 |
| Practice Fax Number | 7705322422 |
| Mailing Telephone | 7705341711 |
| Mailing Fax Number | 7705322422 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 034217 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00456222A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952670549 | Larry Allen Payne | Counselor | 8015 Woodrow Rd, Wolfforth, TX 79382-4381 | 2011-12-28 |
| 1487703286 | Larry G Payne | Dentist | 605 S Wayne St, Waterloo, IN 46793-9472 | 2007-01-09 |
| 1316011067 | Larry C Payne | Chiropractor | 670 River Oaks Pkwy Ste K, San Jose, CA 95134-1988 | 2006-11-17 |
| 1679732143 | Larry W. Payne | Military Health Care Provider | 599 Tomales Rd, Petaluma, CA 94952-5002 | 2008-06-09 |
| 1689795148 | Larry Jason Payne | Dentist | 4965 Friendship Rd, Suite 105, Buford, GA 30518-1700 | 2007-04-03 |
| Street Address |
1485 JESSE JEWELL PARKWAY NE SUITE 100 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497882500 | North Georgia Eye Clinic, Inc. | Optometrist | 1485 Jesse Jewell Parkway Ne, Suite 100, Gainesville, GA 30501-3806 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194111328 | Gainesville Ophthalmology LLC | Ophthalmology | 7109 Nw 11th Pl Ste C, Gainesville, FL 32605-3141 | 2015-04-14 |
| 1629334065 | Ankit Anil Shah | Ophthalmology | 1600 Sw Archer Rd Box 100284, Gainesville, FL 32610-3153 | 2012-04-10 |
| 1326362963 | Florida Eye Care and Surgery Inc | Ophthalmology | 3807 Sw 28th Ter, Gainesville, FL 32608-3150 | 2010-03-25 |
| 1952504656 | Brent R Hayek | Ophthalmology | 1485 Jesse Jewell Pkwy Ne Ste 100, Gainesville, GA 30501-3802 | 2007-06-08 |
| 1396957916 | Joseph Amdur | Ophthalmology | 2220 Nw 28th St, Gainesville, FL 32605-3740 | 2007-05-04 |
| 1962626945 | Vitreo Retinal Associates Pa | Ophthalmology | 4340 W Newberry Rd Ste 202, Gainesville, FL 32607-2557 | 2007-04-12 |
| 1770676017 | Muge R. Kesen | Ophthalmology | 6717 Nw 11th Pl Ste C, Gainesville, FL 32605-4233 | 2006-09-30 |
| 1083635726 | John W Forrest Jr. | Ophthalmology | 705 Jesse Jewell Pkwy Se, Ste 100, Gainesville, GA 30501-3868 | 2006-07-21 |
| 1114955796 | Sonal S Tuli | Ophthalmology | 6201 W Newberry Rd, Gainesville, FL 32605-4305 | 2006-06-30 |
| 1124069505 | Nausheen Khuddus | Ophthalmology | 7120 Nw 11th Pl, Gainesville, FL 32605-3142 | 2006-06-09 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
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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.