MR. JAMES NATHAN PAYNE NP-C
NPI 1063806933
Nurse Practitioner - Family in Gautier, MS

Q: What is James Payne's NPI number?

The NPI number for James Payne is 1063806933. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Q: What is James Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for James Payne was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment

77.84/100

CMS Quality Rating

5090 GAUTIER VANCLEAVE RD, GAUTIER, MS 39553(228) 522-6700(228) 522-3383 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. James Nathan Payne Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JAMES NATHAN PAYNE NP-C (NPI 1063806933) is an individual family provider in Gautier, Mississippi, licensed in Mississippi (R865473) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063806933

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JAMES NATHAN PAYNECredential: NP-C

Location Address5090 GAUTIER VANCLEAVE RDGautier, MS 39553-4803

Mailing Address1604 Beach View DriveOcean Springs, MS 39564 · (228) 219-6706 · Fax (228) 522-3383

Phone(228) 522-6700

Fax(228) 522-3383

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 27, 2015

✔ NPI 1063806933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · R865473

5090 GAUTIER VANCLEAVE RD, Gautier, MS 39553

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Nathan Payne Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597030809

PECOS Enrollment IDI20171011003402

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show James Payne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Services Of The Gulf Coast LLC

17 mi

Urgent Care

921 CEDAR LAKE RD STE E
Biloxi, MS 39532

Reassigned Medicare billing, Mississippi enrollment
22 clinicians in this Medicare group

NPI 1366922023 (228) 396-3945

Memorial Hospital At Gulfport

17 mi

General Acute Care Hospital

1720B MEDICAL PARK DR
Biloxi, MS 39532

Reassigned Medicare billing, Mississippi enrollment
731 clinicians in this Medicare group

NPI 1215546635 (228) 702-2000

Hancock Emergency Group LLC

43 mi

Emergency Medicine

149 DRINKWATER RD
Bay St Louis, MS 39520

Reassigned Medicare billing, Mississippi enrollment
87 clinicians in this Medicare group

NPI 1295142396 (800) 893-9698

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

1,084 services83 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

195 services111 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

149 services145 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

108 services18 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

84 services83 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

83 services81 patients

Detection test by nucleic acid for multiple organisms, amplified probe(s) technique 87801

This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.

72 services24 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

61 services61 patients

Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique 87486

This test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.

59 services57 patients

Detection test by nucleic acid for enterovirus (intestinal virus), amplified probe technique 87498

This test identifies the presence of an enterovirus, a type of virus that primarily targets the digestive system. It uses a method called the amplified probe technique to boost the detection of the virus's genetic material, or nucleic acid.

59 services57 patients

Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique 87581

This test checks for Mycoplasma pneumoniae, a bacteria that can cause lung infection. It uses a method called amplified probe technique, which identifies the bacteria's genetic material. This helps in diagnosing the infection accurately.

59 services57 patients

Detection test by nucleic acid for staphylococcus aureus, methicillin resistant (mrsa bacteria), amplified probe technique 87641

A detection test by nucleic acid for MRSA bacteria uses an amplified probe technique. It's a lab procedure that identifies the presence of MRSA, a type of bacteria resistant to many antibiotics. This test helps in deciding the best treatment.

59 services57 patients

Detection test by nucleic acid for legionella pneumophila (water borne bacteria), amplified probe technique 87541

A detection test for Legionella Pneumophila, a waterborne bacteria, uses the amplified probe technique. This involves identifying the bacteria's unique genetic material (nucleic acid) and amplifying it for easier detection, aiding in accurate diagnosis.

58 services56 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

55 services55 patients

Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus 87637

This test identifies if you have COVID-19, influenza A or B, or respiratory syncytial virus. It uses a multiplex amplified probe technique, which amplifies and detects specific genetic material of the viruses, helping in accurate diagnosis.

49 services48 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

48 services48 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

40 services39 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

32 services32 patients

Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique 87500

The detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.

24 services24 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

24 services23 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services15 patients

Inhalation treatment for airway obstruction or sputum production 94640

Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.

13 services13 patients

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

Albuterol and ipratropium bromide are medications used to help you breathe more easily. They work by relaxing your airways and increasing airflow to your lungs. These FDA-approved drugs are administered through a device called DME (Durable Medical Equipment) which ensures accurate dosage.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39553 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.55

Improvement Activities

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARCHON MED LLC

Emergency Medicine

5090 GAUTIER VANCLEAVE RD
GAUTIER, MS 39553

Jackson County (228) 522-6700

JAMES N PAYNE NP-C LLC

Nurse Practitioner

5090 GAUTIER VANCLEAVE RD
GAUTIER, MS 39553

Jackson County (228) 522-6700

ARK MEDICAL PLLC

Emergency Medicine

5090 GAUTIER VANCLEAVE RD
GAUTIER, MS 39553

Jackson County (228) 522-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Payne's NPI number?

The NPI number for James Payne is 1063806933. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is James Payne located?

James Payne practices at 5090 Gautier Vancleave Rd, Gautier, MS 39553. The listed phone number is (228) 522-6700.

What is James Payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Payne enrolled in Medicare?

Yes. James Payne is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Payne reassigns Medicare benefits to 3 organizations: Physician Services Of The Gulf Coast LLC (Biloxi, MS), Memorial Hospital At Gulfport (Biloxi, MS) and Hancock Emergency Group LLC (Bay St Louis, MS). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Payne accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list James Payne as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Payne was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.