Healthcare Provider Details

I. General information

NPI: 1508574922
Provider Name (Legal Business Name): ERIC PAYNE M.D., GENERAL INTERNAL MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 WASHINGTON ST
FRANKLINTON LA
70438-2533
US

IV. Provider business mailing address

2020 WASHINGTON ST
FRANKLINTON LA
70438-2533
US

V. Phone/Fax

Practice location:
  • Phone: 985-322-2073
  • Fax: 985-322-2076
Mailing address:
  • Phone: 985-322-2073
  • Fax: 985-322-2076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC ALAN PAYNE
Title or Position: MD
Credential: MD
Phone: 985-322-2073