Individual provider Active NPI

Kasey M Lanier, MD

  • Allergy Physician
  • Alpharetta, GA
National Provider Identifier
1235636424
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
96585 Issued in GA
Practice address
3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425
Phone
(678) 688-4688
NPI assigned
Apr 12, 2018
Last updated
May 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X 96585 GA Primary

Addresses

Primary practice location

3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425

Mailing address

3905 Brookside Pkwy Ste 203
Alpharetta, GA 30022-4425
Phone (678) 688-4688

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
I20230915000342 GA Practitioner - Allergy/Immunology 7214391812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Mercer University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas Chacko MD PCGroup PAC ID 5991040982, 3 clinicians

Practice addresses (Care Compare)

3905 Brookside Pkwy
Suite 203
Alpharetta, GA 30022-4425
Phone (678) 668-4688

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas Chacko M.D. P.C Allergy CurrentSince Aug 14, 2023 Accepting new patients

Locations

3905 Brookside Pkwy
Ste 203
Alpharetta, GA 30022
Phone (678) 668-4688

460 Northside Cherokee Blvd
Ste 410
Canton, GA 30115
Phone (470) 242-0730

960 Sanders Rd
Ste 500
Cumming, GA 30041
Phone (312) 576-4598

3770 Howell Ferry Rd
Duluth, GA 30096
Phone (678) 495-0410

3855 Pleasant Hill Rd
Ste 420
Duluth, GA 30096
Phone (770) 495-1955

5555 Peachtree Dunwoody Rd
Ste 135
Sandy Springs, GA 30342
Phone (404) 257-0039

Organizations & group practices 1

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": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1235636424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "678-688-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 203",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224425",
            "telephone_number": "678-688-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "KASEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "96585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.