Blaine Payne, Inc
Blaine Payne, Inc is a healthcare organization registered as Geriatric Medicine (Family Medicine) Physician in Madison, FL, holding Type 2 (organization) NPI 1770943409 since 2016. The authorized official on file is Tammey Revels, Business Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1770943409 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Blaine Payne, Inc |
| Practice address | 180 NW HAYNES ST, Madison, FL, 32340 |
| Phone | 8509731215 |
| Fax | 8669234163 |
| Enumeration date | 2016-02-23 |
| Last updated in NPPES | 2016-06-30 |
Authorized official
| Name | Tammey Revels |
|---|---|
| Title | Business Manager |
| Phone | 8509731215 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | Primary | OS9255 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37137 | Other | — | BCBS |
| 272752800 | Medicaid | FL | — |
| HUMANA | Other | — | HUMANA |
| SXJQY | Other | — | BCBS |
Copy-ready billing details
Provider: Blaine Payne, Inc NPI: 1770943409 Taxonomy: 207QG0300X (Geriatric Medicine (Family Medicine) Physician) Address: 180 NW HAYNES ST, Madison, FL, 32340
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1306858956 | Theresa Payne | Individual | Geriatric Medicine (Family Medicine) Physician | Madison, FL |
Verify this record
Cross-check NPI 1770943409 against the authoritative CMS record: view Blaine Payne, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Blaine Payne, Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-06-30.