Active NPI
Lane Medical Group
- Clinic/Center
- Monroeville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0705732 | Lane Medical Group | Certificate of waiver | Jul 4, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.