DR. LARRY JASON PAYNE D.M.D.
NPI 1689795148
Dentist - General Practice in Buford, GA

Active since April 03, 2007PECOS Enrolled
4965 FRIENDSHIP RD, SUITE 105, BUFORD, GA 30518(770) 614-7122(770) 614-7211 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Larry Jason Payne D.m.d. NPPES

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

DR. LARRY JASON PAYNE D.M.D. (NPI 1689795148) is an individual general practice provider in Buford, Georgia, licensed in Georgia (DN012442) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689795148
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. LARRY JASON PAYNECredential: D.M.D.
Location Address4965 FRIENDSHIP RD, SUITE 105Buford, GA 30518-1700
Mailing Address4965 Friendship Rd, Suite 105Buford, GA 30518-1700 · (770) 614-7122 · Fax (770) 614-7211
Fax(770) 614-7211
Sole ProprietorNo
Enumeration DateApril 3, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1689795148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN012442
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4965 FRIENDSHIP RD, Buford, GA 30518

Other Identifiers 1

Medicaid00940783BGA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Larry Jason Payne D.m.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30518 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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 2

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

General Practice
4965 FRIENDSHIP RD, ST 103
BUFORD, GA 30518
General Practice
4965 FRIENDSHIP RD, SUITE 103
BUFORD, GA 30518

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 Larry Payne's NPI number?

The NPI number for Larry Payne is 1689795148. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Larry Payne located?

Larry Payne practices at 4965 Friendship Rd Suite 105, Buford, GA 30518. The listed phone number is (770) 614-7122.

What is Larry Payne's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Larry Payne enrolled in Medicare?

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

What insurance does Larry Payne accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Larry 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 Larry Payne was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.