MEDICARE: DR. JOHN P. PAYNE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0001X	Clinical Cardiac Electrophysiology Physician	17690	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	RR 060069250	OTHER	MS	RAILROAD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	P00628046	OTHER	MS	RAILROAD

General Provider Information

NPI Number	:	1730102740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN P. PAYNE MD

Provider Business Mailing Address
First Line	:	971 LAKELAND DR
Second Line	:	STE. 850
City	:	JACKSON
State	:	MS
Zip	:	39216-4608
Country	:	US
Telephone Number	:	601-981-8543
Fax Number	:	601-364-5498

Provider Business Practice Location Address
First Line	:	971 LAKELAND DR
Second Line	:	STE. 850
City	:	JACKSON
State	:	MS
Zip	:	39216-4608
Country	:	US
Telephone Number	:	601-981-8543
Fax Number	:	601-364-5498

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	06/01/2011

Similar Medicare Providers

1184574451 — MR. THOMAS MALONEY HARKINS III NP
Practice Location Address:

971 LAKELAND DR STE 657
JACKSON, MS
39216-4608

Practice Phone: 601-200-2780
Practice Fax: 601-200-2788

1386639359 — ERIC T LENOIR PA
Practice Location Address:

971 LAKELAND DR STE 657
JACKSON, MS
39216-4608

Practice Phone: 601-200-2780
Practice Fax: 601-200-2788

1043294432 — PIERRE EDOUARD DE DELVA MD
Practice Location Address:

971 LAKELAND DR STE 657
JACKSON, MS
39216-4608

Practice Phone: 601-200-2780
Practice Fax: 601-200-2788

1578595187 — DAVID S MILLER M.D.
Practice Location Address:

971 LAKELAND DR STE 656
JACKSON, MS
39216-4608

Practice Phone: 601-366-6606
Practice Fax: 601-366-6647

1518992833 — RONALD ELLER PA
Practice Location Address:

971 LAKELAND DR STE 657
JACKSON, MS
39216-4608

Practice Phone: 601-200-2780
Practice Fax: 601-200-2788

1851305429 — JACKSON CARDIOLOGY ASSOCIATES, P.A.
Practice Location Address:

971 LAKELAND DR STE 850
JACKSON, MS
39216-4608

Practice Phone: 601-981-8543
Practice Fax:

Directions to “ DR. JOHN P. PAYNE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.