Provider Demographics
NPI:1184062275
Name:PAYNE, JASON NORBERTO (MD, MSPH)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:NORBERTO
Last Name:PAYNE
Suffix:
Gender:M
Credentials:MD, MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:50 HURT PLZ SE STE 630
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-2915
Mailing Address - Country:US
Mailing Address - Phone:404-756-5737
Mailing Address - Fax:404-756-1357
Practice Address - Street 1:35 JESSE HILL JR DR SE FL 2
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-3032
Practice Address - Country:US
Practice Address - Phone:404-785-9800
Practice Address - Fax:404-785-9745
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-11
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA837422080P0207X
AL352002080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-OncologyGroup - Multi-Specialty