Organization Active NPI

Lane Medical Group

  • Clinic/Center
  • Monroeville, AL
National Provider Identifier
1194863340
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LANE MEDICAL GROUP
Practice address
129 Whetstone St
Monroeville, AL 36460-2625
Phone
(251) 575-3939
Fax
(251) 575-2379
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

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

Authorized official

Name
Dr. Thomas H Lane, M.D.NPI 1912955147
Title
President
Phone
(251) 575-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

129 Whetstone St
Monroeville, AL 36460-2625

Mailing address

129 Whetstone St
Monroeville, AL 36460-2625
Phone (251) 575-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317001026 AL Part B Supplier - Clinic/Group Practice 0749272433 Receives reassigned benefits from 1 practitioner
Practice locations: Monroeville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0705732Lane Medical Group129 Whetstone St, Monroeville, AL 36460Certificate of waiverJul 4, 2027

National Provider Directory

National Provider Directory

Locations

236 W Claiborne St
Monroeville, AL 36460
Phone (251) 575-2647

129 Whetstone St
Monroeville, AL 36460
Phone (251) 575-3939

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1194863340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 WHETSTONE ST",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364602625",
            "telephone_number": "251-575-3939",
            "fax_number": "251-575-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 WHETSTONE ST",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364602625",
            "telephone_number": "251-575-3939",
            "fax_number": "251-575-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-575-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.