NAOMI PHAYNE DPM
NPI 1326038803
Podiatrist - Foot & Ankle Surgery in Fort Campbell, KY

Active since October 25, 2005PECOS Enrolled
650 JOEL DRIVE, PODIATRY CLINIC, FORT CAMPBELL, KY 42223(270) 798-8638 Get Directions Write a Review

NPPES record last updated: September 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 10, 2023, Sep 23, 2022 (2 updates tracked since 2022).

About Naomi Phayne Dpm NPPES

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

NAOMI PHAYNE DPM (NPI 1326038803) is an individual foot & ankle surgery provider in Fort Campbell, Kentucky, licensed in Maryland (01395) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Gordon.

NPPES Registry Identity

NPI1326038803
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameNAOMI PHAYNECredential: DPM
Location Address650 JOEL DRIVE, PODIATRY CLINICFort Campbell, KY 42223
Mailing Address650 Joel Drive, Podiatry ClinicFort Campbell, KY 42223 · (702) 798-8638
Sole ProprietorYes
Enumeration DateOctober 25, 2005
Last NPPES UpdateSeptember 10, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2023
NPI 1326038803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in MD · 01395
Also ListedPodiatristTaxonomy 213E00000X · License 01395 (MD)
650 JOEL DRIVE, Fort Campbell, KY 42223

Secondary Practice Location 1

Location 1300 W Hospital Rd, Podiatry ClinicFort Gordon, GA 30905-5741 · Phone (706) 787-0694 · Fax (706) 787-2760

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Naomi Phayne Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Licensed Practical Nurse
650 JOEL DRIVE
FT. CAMPBELL, KY 42223
Registered Nurse (Community Health)
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223
Licensed Vocational Nurse
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223
Registered Nurse
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223
Physician Assistant (Medical)
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223
Registered Nurse
650 JOEL DRIVE, GENERAL SURGERY/GASTROENTEROLOGY CLINIC
FORT CAMPBELL, KY 42223
Physician Assistant
650 JOEL DRIVE, BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223
Registered Nurse
650 JOEL DRIVE
FT CAMPBELL, KY 42223

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 Naomi Phayne's NPI number?

The NPI number for Naomi Phayne is 1326038803. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Naomi Phayne located?

Naomi Phayne practices at 650 Joel Drive Podiatry Clinic, Fort Campbell, KY 42223. The listed phone number is (270) 798-8638.

What is Naomi Phayne's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Naomi Phayne enrolled in Medicare?

Yes. Naomi Phayne is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Naomi Phayne was last updated on September 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.