Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB PAYNE
NPI 1790602175
Nurse Practitioner - Family in Fork Union, VA

Active since July 06, 2026
4342 JAMES MADISON HWY, FORK UNION, VA 23055(434) 204-9807(434) 404-4648 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 15, 2026, Jul 6, 2026 (2 updates tracked since 2026).

About Jacob Payne NPPES

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

JACOB PAYNE (NPI 1790602175) is an individual family provider in Fork Union, Virginia, licensed in Virginia (0024197991) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1790602175
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB PAYNE
Location Address4342 JAMES MADISON HWYFork Union, VA 23055-2025
Mailing Address945 Jefferson DrPalmyra, VA 22963-3313
Fax(434) 404-4648
Sole ProprietorYes
Enumeration DateJuly 6, 2026
Last NPPES UpdateOctober 15, 20262 updates tracked since enumeration
NPPES CertifiedOctober 15, 2026
✔ NPI 1790602175 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 VA · 0024197991
4342 JAMES MADISON HWY, Fork Union, VA 23055

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 Jacob Payne's NPI number?

The NPI number for Jacob Payne is 1790602175. It was assigned to this individual provider in the NPPES registry on July 6, 2026.

Where is Jacob Payne located?

Jacob Payne practices at 4342 James Madison Hwy, Fork Union, VA 23055. The listed phone number is (434) 204-9807.

What is Jacob Payne's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Payne was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.