| Ms Portia Payne, | |
| 
					80 Humphreys Center Dr Ste 210, Memphis, TN 38120-2353  | |
| (901) 761-3900 | |
| (901) 578-2572 | 
| Full Name | Ms Portia Payne | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 80 Humphreys Center Dr Ste 210, Memphis, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1578252276 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 906266 (Mississippi) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 33553 (Tennessee) | Primary | 
| Entity Name | Baptist Memorial Medical Group, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306089206 PECOS PAC ID: 5193610228 Enrollment ID: O20040218000385  | 
| Entity Name | Gastrointestinal Specialists Foundation, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1942546452 PECOS PAC ID: 9830334010 Enrollment ID: O20130315000332  | 
| Entity Name | Foner Med, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1396192746 PECOS PAC ID: 2860785052 Enrollment ID: O20160726001527  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Portia Payne, Po Box 405827, Atlanta, GA 30384-5827 Ph: (901) 226-3186  | Ms Portia Payne, 80 Humphreys Center Dr Ste 210, Memphis, TN 38120-2353 Ph: (901) 761-3900  | 
Michelle L Rush, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 880 Madison Ave, Memphis, TN 38103 Phone: 901-545-6969 Fax: 901-545-1711  | |
Mrs. Leslie Rhodes, PNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 51 N Dunlap St Ste 100, Memphis, TN 38105 Phone: 901-287-7337 Fax: 901-937-6681  | |
Gwendolyn Watson, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 201 Poplar Ave, Memphis, TN 38103 Phone: 901-545-2445  | |
Barbara A Overbey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 825 Ridge Lake Blvd, Memphis, TN 38120 Phone: 901-685-2200 Fax: 901-259-2715  | |
Miss Jennifer Elaine Roemer, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 262 Danny Thomas Pl, Memphis, TN 38105 Phone: 901-595-3300  | |
Florida Allen, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3362 S 3rd St, Memphis, TN 38109 Phone: 901-701-2510 Fax: 901-260-8598  | |
Mrs. Sarah Michelle Wredling, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4066 Summer Ave, Memphis, TN 38122 Phone: 901-452-7391  |