MRS. HOLLY D. PAYNE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1700105103

MRS. HOLLY D. PAYNE (CRNA) is a healthcare provider. based in Calhoun, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 8059565-4406 (UT). The NPI Number for MRS. HOLLY D. PAYNE (CRNA) is 1700105103

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HOLLY D. PAYNE (CRNA)
NPI
1700105103
Phone
Not provided
Address
PO BOX 12938
Enumeration Date
25 May 2010
Last Update Date
20 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062953992
Graduation Year
2009 (17 years ago)
PAC ID
6305978867
Group Practice PAC ID
1052543287
Professional Enrollment ID
I20100719000607
Address ID
GA301651413RO11XXXNWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MRS. HOLLY D. PAYNE (CRNA)

  • PO BOX 12938

    C/O CLINIC MANAGEMENT

    CALHOUN, GA 30703

    Phone:

    Fax: (478) 745-4849

    Type: Mailing

  • 1035 RED BUD RD NE

    CALHOUN, GA 307016010

    Phone: (706) 879-4776

    Fax: (706) 879-5841

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Solventum Corporation ($20).

Total Amount

$35

General + Research + Ownership

Payments

2

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

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: 2010-07-19

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
I20100719000607ICertified Registered Nurse Anesthetist (Crna)GATBD

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
00142Anesthesia for lens surgery2121$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 30703)

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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: 1052543287View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)AL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

Where can patients find MRS. HOLLY D. PAYNE (CRNA)'s NPI?
You can confirm MRS. HOLLY D. PAYNE (CRNA) with NPI 1700105103; it appears in the national provider directory.
Does this profile mean MRS. HOLLY D. PAYNE (CRNA) is currently active?
Yes — MRS. HOLLY D. PAYNE (CRNA) appears active in the national provider directory.
What does MRS. HOLLY D. PAYNE (CRNA) treat or focus on?
Patients typically see MRS. HOLLY D. PAYNE (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. HOLLY D. PAYNE (CRNA)?
The snapshot lists Calhoun, Georgia for MRS. HOLLY D. PAYNE (CRNA); download NPPES for the complete set.
How can I contact MRS. HOLLY D. PAYNE (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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