Kelly Lane, PAA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

3001 Issued in GA

Practice address

5445 Meridian Mark Rd Ste 340
Atlanta, GA 30342-4766

Phone

(404) 785-5650

Fax

(404) 785-5610

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

Locations

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

• Children's Anesthesia Services, LLC

  • Pediatric Anesthesiology Physician
  • Brookhaven, GA
  • NPI 1437203098

  Anesthesiologist Assistant

  Medicare reassignment NPD
• Fayette Community Anesthesia

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1144220245
  NPD (past)
• Piedmont Anesthesia Associates, L.L.C

  • Anesthesiology Physician
  • Atlanta, GA
  • NPI 1407856594
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1154376192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424766",
            "telephone_number": "404-785-5650",
            "fax_number": "404-785-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 MERIDIAN MARK RD STE 340",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424766",
            "telephone_number": "404-785-5650",
            "fax_number": "404-785-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "KELLY",
        "credential": "PAA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "GA",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "choa@choa.gadirect.net",
            "affiliation": "N",
            "address_1": "5445 Meridian Mark Rd Ste 340",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303424766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Robert Lane, PT
• Elizabeth Christianne Lane, P.T.
• Felecia Lane, DNP,FNP-C, MS
• Jenyce Lane, ATC
• John Lane, MD
• Lynn Lane
• Mary Lane, LISW
• McKenzie Lane, PA
• Olabisi Popoola Lane, M.D., PHARM D
• Peter Lane Jr., MD

• Anesthesiologist Assistant in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Anesthesiologist Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.