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MRS. MALIQUE ROXANNE PAYNE O.D.
NPI 1457546376
Optometrist in Fayetteville, GA

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
125 PAVILION PKWY, FAYETTEVILLE, GA 30214(770) 460-7894(770) 719-4392 Get Directions Write a Review

NPPES record last updated: July 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2020, Jun 29, 2016 (2 updates tracked since 2016).

About Mrs. Malique Roxanne Payne O.d. NPPES

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

MRS. MALIQUE ROXANNE PAYNE O.D. (NPI 1457546376) is an individual optometrist in Fayetteville, Georgia, licensed in Georgia (OPT002483) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Griffin, and is a graduate of State University Of New York - State College Optometry (2007).

NPPES Registry Identity

NPI1457546376
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMRS. MALIQUE ROXANNE PAYNECredential: O.D.
Location Address125 PAVILION PKWYFayetteville, GA 30214-4098
Mailing Address125 Pavilion PkwyFayetteville, GA 30214-4098 · (770) 460-7894 · Fax (770) 719-4392
Phone(770) 460-7894
Fax(770) 719-4392
Sole ProprietorNo
Medical School CMSState University Of New York - State College OptometryGraduated 2007
Enumeration DateSeptember 13, 2007
Last NPPES UpdateJuly 13, 20202 updates tracked since enumeration
NPPES CertifiedJuly 13, 2020
✔ NPI 1457546376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in GA · OPT002483✔ Licensed in NY · TUV007182✔ Licensed in AL · R-227-TA-984
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
125 PAVILION PKWY, Fayetteville, GA 30214
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Secondary Practice Location 1

Location 11569 N ExpresswayGriffin, GA 30223-1746 · Phone (770) 233-6860

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Malique Roxanne Payne O.d. 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 ID6709955610
PECOS Enrollment IDI20250326002269
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.

Areas of Expertise CMS Part B claims 3

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.

New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
13 services13 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
13 services13 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

MATILDA NCHIFOR PHARMD
Pharmacist
125 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 460-0947
WAL-MART STORES EAST, LP
Eyewear Supplier
125 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 460-0947
NINA UZOAMAKA CHUKWURA DENNIS PHARMD
Pharmacist
125 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 460-0726
SUPERIOR EYECARE AND ASSOCIATES INC
Optometrist
125 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (470) 301-5657
CRYSTAL RENNIS-FLEMING
Pharmacist
125 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 460-0726
WAL-MART STORES EAST LP
Pharmacy (Community/Retail Pharmacy)
125 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 460-0726

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 Malique Payne's NPI number?

The NPI number for Malique Payne is 1457546376. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Malique Payne located?

Malique Payne practices at 125 Pavilion Pkwy, Fayetteville, GA 30214. The listed phone number is (770) 460-7894.

What is Malique Payne's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Malique Payne enrolled in Medicare?

Yes. Malique 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.

What insurance does Malique Payne accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Malique 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 Malique Payne was last updated on July 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.