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

Mr. James R Payne, PAC

Individual provider Medical Physician Assistant · NPI 1114912524

Mr. James R Payne, PAC is a Physician Assistant in Vidalia, Georgia. Qualified in 2004, 22 years ago. Practices with American Oncology Partners PA, a 383-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
22
Licensed in
GA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

1 Meadows Pkwy
Vidalia, GA 30474-8759
Phone: (912) 454-7012
Fax: (866) 871-8565
Show map & directions

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

Additional practice locations (3)

  • 1000 Towne Center Blvd Ste 704, Pooler, GA 31322-4063 — (912) 692-2000
  • 4700 Waters Ave Ste 201, Savannah, GA 31404-6220 — (912) 692-2000
  • 1601 Fair Rd Ste 900, Statesboro, GA 30458-0800 — (912) 692-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4295 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 004295 (GA)

Record details

NPI number1114912524
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedSeptember 13, 2005
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice American Oncology Partners Pa — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Vidalia