Healthcare Provider Details

I. General information

NPI: 1619991007
Provider Name (Legal Business Name): THOMAS ARTHUR PAYNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: THOMAS ARTHUR PAYNE MD

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 SILAS CREEK PKWY
WINSTON SALEM NC
27103-3013
US

IV. Provider business mailing address

3333 SILAS CREEK PKWY
WINSTON SALEM NC
27103-3013
US

V. Phone/Fax

Practice location:
  • Phone: 336-718-5000
  • Fax:
Mailing address:
  • Phone: 336-718-3150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number200100443
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number200100443
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: