GILLIS L. PAYNE, JR., M.D., P.C. (NPI# 1942536867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942536867 |
| Entity Type | Organization |
| Organization Name | GILLIS L. PAYNE, JR., M.D., P.C. |
| Practice Address |
7006 Fulton Court Montgomery AL 36117 |
| Practice Telephone | 3342447209 |
| Practice Fax Number | 3342446604 |
| Mailing Telephone | 3342447209 |
| Mailing Fax Number | 3342446604 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2011-04-19 |
| Authorized Official Name | DR. GILLIS L. PAYNE JR. (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 3342447209 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 51004903 | 01 |
| AL | 000004903 | 05 |
| Street Address |
7006 FULTON COURT |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1760914691 | Bradley Gilbert Marple | Pediatrics | 401 6th Ave Ste 101, Montgomery, WV 25136-2116 | 2017-03-30 |
| 1235527417 | John Henry Tholking | Pediatrics | 10064 Old Farm Ct, Montgomery, OH 45242-5926 | 2014-12-22 |
| 1578999256 | Wright Pediatrics, Pa | Pediatrics | 18924 Freeport Dr, Suite B, Montgomery, TX 77356-4589 | 2013-09-25 |
| 1912219387 | Pediatrics At Twilight,llc | Pediatrics | 128 Mitylene Park Ln, Montgomery, AL 36117-3758 | 2010-07-13 |
| 1699930784 | Linda L Kho | Pediatrics | 3183 Venetian Way, Montgomery, IL 60538-3454 | 2008-07-28 |
| 1457409955 | Shearlyn Deanne Peoples | Pediatrics | 1338 Biscayne Dr, Montgomery, AL 36116-2816 | 2007-01-08 |
| 1215008065 | Eddie Hao Uy | Pediatrics | 42d Medical Group, 300 S.twining St. Bldg 760, Montgomery, AL 36112-6219 | 2006-11-13 |
| 1386732642 | Rama Lakshmi Mukkamala | Pediatrics | 8160 Seaton Pl, Montgomery, AL 36116-7204 | 2006-10-11 |
| 1003904327 | Professional Pediatrics Pa | Pediatrics | 4154 Carmicheal Road, Montgomery, AL 36106 | 2006-10-11 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on GILLIS L. PAYNE, JR., M.D., P.C..
| 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.