Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558775171 Individual Practitioner Male Practitioner

Jordan Payne

Pediatrics • Midland, TX

Professional Overview & Biography Verified Profile Summary

Jordan Payne is a registered healthcare professional specializing in Pediatrics in Midland, TX. Practice services are available at 400 ROSALIND REDFERN GROVER PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Rosalind Redfern Grover Pkwy

Midland, TX 797015846

Telephone 4322211111
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Midland, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
22 Specialists

Practicing in Midland, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX R2440

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
8HA174 (TX)
Commercial Insurance / Payer ID Medicare
583266YKT8 (TX)

Secondary Practice Locations

1200 Childrens Ave

Oklahoma City, OK 731044637

Phone: 4052714417

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Gypsy Jasso , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1013456649

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Jesse Dalehite , MD

Radiology - Diagnostic Radiology

NPI 1013977107

Doctor of Medicine (M.D.)

Kartikeya Kumar

Student in an Organized Health Care Education/Training Program

NPI 1023740396
Dr. Karthik Chakrala , DO

Internal Medicine

NPI 1043633233

Doctor of Osteopathic Medicine (D.O.)

Dr. Alaaedin Alhomosh , MD

Internal Medicine - Critical Care Medicine

NPI 1063709913

Doctor of Medicine (M.D.)

Dr. Annalee Mora , MD

Internal Medicine

NPI 1114292398

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Student in an Organized Health Care Education/Training Program

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2017

Registered at 400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 797015846 (Tel: 4322211111)

📍
Updated Business Mailing Address September 12, 2017

Registered at 2215 NASHVILLE AVENUE, LUBBOCK, TX 79410 (Tel: 8067254800)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as JORDAN PAYNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Pediatrics (License #R2440 in TX)

NPI Profile Active June 12, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2014

Registered at 1200 CHILDRENS AVE, OKLAHOMA CITY, OK 731044637 (Tel: 4052714417)

📍
Updated Business Mailing Address June 12, 2014

Registered at 637 E 27TH PL, EDMOND, OK 730135220

👤
Provider Name / Credentials Updated June 12, 2014

Recorded as JORDAN PAYNE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558775171
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2014
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

2215 Nashville Avenue

Lubbock, TX 79410

Phone: 8067254800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.