OrganizationActive
Blaine Payne, Inc
NPI 1770943409 · Geriatric Medicine (Family Medicine) Physician · Madison, FL
Provider details
- NPI number
- 1770943409
- Entity type
- Organization
- Primary specialty
- Geriatric Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Tammey Revels, Business Manager
- License
- OS9255 (FL)
Practice location
180 Nw Haynes St
Madison, FL 32340-2010
Phone: (850) 973-1215
Fax: (866) 923-4163
Mailing address
Po Box 185
Madison, FL 32341-0185
Registry dates
- Enumerated
- 2016-02-23
- Last updated
- 2016-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.