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SHELBY PAYNE
NPI 1164139853
Speech-Language Pathologist in Raleigh, NC

Active since November 01, 2022
4909 WATERS EDGE DR, RALEIGH, NC 27606(919) 285-1627 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2023, Nov 1, 2022 (2 updates tracked since 2022).

About Shelby Payne NPPES

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

SHELBY PAYNE (NPI 1164139853) is an individual speech-language pathologist provider in Raleigh, North Carolina, licensed in North Carolina (30002266) and active in the NPI registry since November 2022. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164139853
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSHELBY PAYNE
Location Address4909 WATERS EDGE DRRaleigh, NC 27606-2462
Mailing Address329 Wash Hollow DrWendell, NC 27591-6036
Phone(919) 285-1627
Sole ProprietorNo
Enumeration DateNovember 1, 2022
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1164139853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NC · 30002266
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4909 WATERS EDGE DR, Raleigh, NC 27606
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Secondary Practice Locations 2

Location 11500 Sawmill RdRaleigh, NC 27615-4320 · Phone (919) 848-7000
Location 2113 S Railroad AveDunn, NC 28334-4853 · Phone (910) 891-1599

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Payne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Shelby Payne reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Speech Inspirations PLLC
Same address
Speech-Language Pathologist
4909 WATERS EDGE DR STE 100
Raleigh, NC 27606
  • Reassigned Medicare billing, North Carolina enrollment
  • 11 clinicians in this Medicare group
NPI 1205466323 (919) 285-1647
Legacy Healthcare Services, Inc.
19 mi
Physical Therapist
2701 PICKETT RD
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 320 clinicians in this Medicare group
NPI 1104823400 (919) 424-5080

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

Other Providers at the Same Location NPPES 20

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

VIRGINIA WINSTEAD
Speech-Language Pathologist
4909 WATERS EDGE DR
RALEIGH, NC 27606
Wake County (919) 285-1647
ACON HEALTH CARE SERVICES, INC
In Home Supportive Care
4909 WATERS EDGE DR, SUITE 208
RALEIGH, NC 27606
Wake County (919) 961-0248
LAUREN HAGINS OT
Occupational Therapist
4909 WATERS EDGE DR
RALEIGH, NC 27606
Wake County (919) 285-1647
SYDNEY ROSS OTR/L
Occupational Therapist
4909 WATERS EDGE DR
RALEIGH, NC 27606
Wake County (919) 285-1647
DAWN M HALL MA, LPC, LCMHCS
Counselor (Professional)
4909 WATERS EDGE DR
RALEIGH, NC 27606
Wake County (919) 589-2196
ESTEFANIA ALVAREZ
Speech-Language Pathologist
4909 WATERS EDGE DR
RALEIGH, NC 27606
Wake County (919) 285-1647
CLAIRE TERO
Occupational Therapist
4909 WATERS EDGE DR
RALEIGH, NC 27606
Wake County (919) 514-1788
OUR TREATMENT CENTER
Counselor (Mental Health)
4909 WATERS EDGE DR, 104
RALEIGH, NC 27606
Wake County (919) 601-1313

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 Shelby Payne's NPI number?

The NPI number for Shelby Payne is 1164139853. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Shelby Payne located?

Shelby Payne practices at 4909 Waters Edge Dr, Raleigh, NC 27606. The listed phone number is (919) 285-1627.

What is Shelby Payne's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Shelby Payne enrolled in Medicare?

Yes. Shelby Payne is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shelby Payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Payne reassigns Medicare benefits to 2 organizations: Speech Inspirations PLLC (Raleigh, NC) and Legacy Healthcare Services, Inc. (Durham, NC). 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 Shelby Payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Payne accept?

Health plans from Blue Cross and Blue Shield of NC list Shelby 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 Shelby Payne was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.