Charles Ridgeway Payne, - Medicare Nurse Practitioner in Fultondale, AL

Charles Ridgeway Payne, is a medicare enrolled "Nurse Practitioner" in Fultondale, Alabama. He went to University Of Alabama School Of Medicine and graduated in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Paragon Contracting Services Llc and his current practice location is 3631 Grand Central Ave, Fultondale, Alabama. You can reach out to his office (for appointments etc.) via phone at (205) 535-6011.

Charles Ridgeway Payne is licensed to practice in Alabama (license number 1-171896) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164128062.

Contact Information

Charles Ridgeway Payne,
3631 Grand Central Ave,
Fultondale, AL 35068-1997
(205) 535-6011
Not Available

Map and Direction




Provider's Profile

Full NameCharles Ridgeway Payne
GenderMale
SpecialityNurse Practitioner
Experience1 Years
Location3631 Grand Central Ave, Fultondale, Alabama
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Charles Ridgeway Payne attended and graduated from University Of Alabama School Of Medicine in 2024
  NPI Data:
  • NPI Number: 1164128062
  • Provider Enumeration Date: 02/01/2023
  • Last Update Date: 05/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5092240044
  • Enrollment ID: I20241127001450

Medical Identifiers

Medical identifiers for Charles Ridgeway Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164128062NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-171896 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Vincent's ChiltonClanton, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Paragon Contracting Services Llc3971417825298

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Ridgeway Payne allows following entities to bill medicare on his behalf.
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20050218000756

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charles Ridgeway Payne is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Charles Ridgeway Payne,
3631 Grand Central Ave,
Fultondale, AL 35068-1997

Ph: (205) 535-6011
Charles Ridgeway Payne,
3631 Grand Central Ave,
Fultondale, AL 35068-1997

Ph: (205) 535-6011

Reviews and Comments


Nurse Practitioner Nurses in Fultondale, AL

Mrs. Jennifer Grace Peacock, RN
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Medicare: Not Enrolled in Medicare
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Phone: 205-250-6424    
Emily Burns, CRNP
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Phone: 205-250-6000    
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Practice Location: 1604 Stouts Rd, Fultondale, AL 35068
Phone: 205-849-9811    
Daniel Nailor, CRNP
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Medicare: Accepting Medicare Assignments
Practice Location: 339 Walker Chapel Plz, #115, Fultondale, AL 35068
Phone: 205-340-5712    
Dr. Jennifer Amarachi Ukeje, DNP-FNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 782 Pullman Ln, Fultondale, AL 35068
Phone: 205-413-2285    
Troy Henderson, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1604 Stouts Rd, Fultondale, AL 35068
Phone: 205-849-9811    Fax: 205-250-9812

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.