MR. JAMES R PAYNE (PA C) – Physician Assistant, NPI 1114912524

MR. JAMES R PAYNE (PA C) is a healthcare provider. based in Swainsboro, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 004295 (GA). The NPI Number for MR. JAMES R PAYNE (PA C) is 1114912524

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES R PAYNE (PA C)
NPI
1114912524
Phone
(478) 289-1240
Address
117 KITE RD
Enumeration Date
13 September 2005
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9128052273
Graduation Year
2004 (22 years ago)
PAC ID
4789644840
Group Practice PAC ID
8820489941
Professional Enrollment ID
I20181217000353
Address ID
GA304748860VI122XXDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for MR. JAMES R PAYNE (PA C)

  • Emanuel Medical Center, 117, Kite Road, Swainsboro, Emanuel County, Georgia, 30401, United States

    SWAINSBORO, GA 304013231

    Phone: (478) 289-1240

    Type: Mailing

  • 1000 Towne Center Blvd Ste 704

    Pooler, GA 313224063

    Phone: (912) 692-2000

    Fax: (912) 692-2100

    Type: Location

  • 4700 Waters Ave Ste 201

    Savannah, GA 314046220

    Phone: (912) 692-2000

    Fax: (912) 692-2100

    Type: Location

  • 1601 Fair Rd Ste 900

    Statesboro, GA 304580800

    Phone: (912) 692-2000

    Fax: (912) 692-2100

    Type: Location

  • PO BOX 749495

    ATLANTA, GA 303749495

    Phone: (239) 432-8331

    Fax: (813) 321-1296

    Type: Mailing

  • 1 MEADOWS PKWY

    VIDALIA, GA 304748759

    Phone: (912) 454-7012

    Fax: (866) 871-8565

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 131 Open Payments records for all available years, with a total value of $2,908.

Total Amount is formed as General ($2,908) + Research ($0) + Ownership ($0) = $2,908.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($305).

Total Amount

$2,908

General + Research + Ownership

Payments

131

Total payment records

General Amount

$2,908

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181217000353IPhysician AssistantGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0897Injection, denosumab, 1 mg5,82063$0
J0185Injection, aprepitant, 1 mg5,46016$0
J1100Injection, dexamethasone sodium phosphate, 1 mg95027$0
J2469Injection, palonosetron hcl, 25 mcg72023$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count700242$0
View full utilization report →

Insurance plans in this area (ZIP 30401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820489941View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeFL
Nurse PractitionerGA
Family PracticeGA
Physician AssistantGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

What is the standard ID for MR. JAMES R PAYNE (PA C) in the U.S.?
In the U.S., MR. JAMES R PAYNE (PA C) is identified by NPI 1114912524.
Is MR. JAMES R PAYNE (PA C)'s NPI status active today?
Active status means MR. JAMES R PAYNE (PA C)'s NPI record is not deactivated in the public file.
What does the directory say MR. JAMES R PAYNE (PA C) does?
Insurance directories may phrase it differently, but here MR. JAMES R PAYNE (PA C) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. JAMES R PAYNE (PA C) tied to Swainsboro, Georgia?
If you are local to Swainsboro, Georgia, MR. JAMES R PAYNE (PA C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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