Individual provider Active NPI

John Palmer Lanier, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Kennesaw, GA
National Provider Identifier
1215976394
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
028809 Issued in GA
Practice address
1600 Kennesaw Due West Rd NW
Suite 501
Kennesaw, GA 30152-4301
Phone
(770) 429-5555
Fax
(770) 429-5586
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 028809 GA Primary

Addresses

Primary practice location

1600 Kennesaw Due West Rd NW
Suite 501
Kennesaw, GA 30152-4301

Mailing address

2050 Cumming Hwy
Ste. 100
Canton, GA 30114-8614
Phone (770) 345-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040820000729 GA Practitioner - Obstetrics/GynecologyPractitioner - Physical Medicine and Rehabilitation 2567436132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Healthcare II, LLC Past Accepting new patients
Tri County Medical Past Accepting new patients
Alternacare Physical Medicine and Rehabilitation Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1975/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1215976394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 CUMMING HWY",
            "address_2": "STE. 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148614",
            "telephone_number": "770-345-9600",
            "fax_number": "770-345-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KENNESAW DUE WEST RD NW",
            "address_2": "SUITE 501",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524301",
            "telephone_number": "770-429-5555",
            "fax_number": "770-429-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "JOHN",
        "middle_name": "PALMER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "028809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

Verify at the official NPI Registry.