Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blaine Payne, Inc

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1770943409

Blaine Payne, Inc is a Geriatric Medicine (Family Medicine) Physician in Madison, Florida. Licensed in Florida. Registered with an NPI since 2016.

Licensed in
FL
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

180 NW Haynes St
Madison, FL 32340-2010
Phone: (850) 973-1215
Fax: (866) 923-4163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X · Licence OS9255 (FL)

Record details

NPI number1770943409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tammey Revels — Business Manager · (850) 973-1215
NPI enumeratedFebruary 23, 2016
Last updated in NPPESJune 30, 2016
Mailing addressPo Box 185, Madison, FL 32341-0185

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