Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Bradley Payne, PA-C

Individual provider Physician Assistant · NPI 1992002190

Nicole Bradley Payne, PA-C is a Physician Assistant in Winston Salem, North Carolina. Qualified in 2010, 16 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2025 Frontis Plaza Blvd Ste 100
Winston Salem, NC 27103-5663
Phone: (336) 718-6199
Fax: (336) 719-6190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 725 Highland Oaks Dr Ste 200, Winston Salem, NC 27103-7109 — (336) 718-6199
  • 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 — (336) 718-5748

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-02825 (NC)

Record details

NPI number1992002190
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 24, 2011
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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