Individual provider Active NPI

Ginger Lane, PAC

  • Physician Assistant
  • Galveston, TX
National Provider Identifier
1073663985
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19062 Issued in TX
Practice address
1005 Harborside Dr
FL 7
Galveston, TX 77555-0001
Phone
(409) 266-1888
Fax
(409) 747-4947
NPI assigned
Jan 11, 2007
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19062 TX Primary

Addresses

Primary practice location

1005 Harborside Dr
FL 7
Galveston, TX 77555-0001

Mailing address

5501 Cabrera Dr Ste 301
Sugar Land, TX 77479-7261
Phone (281) 654-8305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070307000079 NV Practitioner - Physician Assistant 4688777998 Reassigns benefits to 1 organization
I20260331000305 TX Practitioner - Physician Assistant 4688777998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Dallas, TX 75265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA19062TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Health Associates of Southern Nevada- Martin, PLLC CurrentSince May 11, 2022 Accepting new patients
Happy Health and Wellness of America PA LLC CurrentSince Jul 13, 2025 Accepting new patients
Talbert Medical Group Past Accepting new patients
David S. Gothelf, a Professional Corporation PastSince Sep 1, 2003 Accepting new patients
Utmb Faculty Group Practice PastSince Sep 1, 1998 Accepting new patients

Locations

861 Coronado Center Dr
Ste 131
Henderson, NV 89052
Phone (702) 478-5111

1934 E Sahara Ave
Las Vegas, NV 89104
Phone (702) 369-5758

2050 Mariner Dr
Ste 120
Las Vegas, NV 89128
Phone (702) 255-2022

8906 Spanish Ridge Ave
Ste 202
Las Vegas, NV 89148
Phone (702) 330-3102

9120 W Post Rd
Ste 200
Las Vegas, NV 89148
Phone (702) 255-2022

5501 Cabrera Dr
Ste 301
Sugar Land, TX 77479
Phone (281) 620-9679

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1073663985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 CABRERA DR STE 301",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774797261",
            "telephone_number": "281-654-8305",
            "fax_number": "281-534-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARBORSIDE DR",
            "address_2": "FL 7",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-266-1888",
            "fax_number": "409-747-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "GINGER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.