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

Charles Ridgeway Payne

Individual provider Nurse Practitioner · NPI 1164128062

Charles Ridgeway Payne is a Nurse Practitioner in Fultondale, Alabama. Graduated from University of Alabama School of Medicine in 2024, 2 years ago. Practices with Paragon Contracting Services LLC, a 395-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
2
Trained at
University of Alabama School of Medicine
Licensed in
AL
In the registry since
2023

Practice location Address checks out

3631 Grand Central Ave
Fultondale, AL 35068-1997
Phone: (205) 535-6011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 1-171896 (AL)

Record details

NPI number1164128062
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 1, 2023
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025
Mailing address3631 Grand Central Ave, Fultondale, AL 35068-1997

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Paragon Contracting Services Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount