Individual provider Active NPI

Mary Boggs Lane, M.D.

  • Obstetrics & Gynecology Physician
  • Murphy, NC
National Provider Identifier
1033105291
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
32508 Issued in NC
Practice address
Cherokee County Health Department
228 Hilton Street
Murphy, NC 28906-2814
Phone
(828) 837-7486
Fax
(828) 835-7854
NPI assigned
Sep 23, 2005
Last updated
Apr 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32508 NC
Obstetrics & Gynecology Physician 207V00000X 32508 NC Primary
Gynecology Physician 207VG0400X 32508 NC

Addresses

Primary practice location

Cherokee County Health Department
228 Hilton Street
Murphy, NC 28906-2814

Mailing address

Cherokee County Health Department
228 Hilton Street
Murphy, NC 28906-2814
Phone (828) 837-7486

Other identifiers 1

IdentifierTypeStateIssuer
890288NMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000933 NC Practitioner - Obstetrics/Gynecology 4688708985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1033105291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHEROKEE COUNTY HEALTH DEPARTMENT",
            "address_2": "228 HILTON STREET",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289062814",
            "telephone_number": "828-837-7486",
            "fax_number": "828-835-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHEROKEE COUNTY HEALTH DEPARTMENT",
            "address_2": "228 HILTON STREET",
            "city": "MURPHY",
            "state": "NC",
            "postal_code": "289062814",
            "telephone_number": "828-837-7486",
            "fax_number": "828-835-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARY",
        "middle_name": "BOGGS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32508",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "32508",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "32508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890288N",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, NC

Sources for this page

Verify at the official NPI Registry.