Individual provider Active NPI

Meghan Lynn Lane, PA-C

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1235881749
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA115563 Issued in FL
Practice address
4002 S Manhattan Ave Apt 48
Tampa, FL 33611-1258
Phone
(813) 618-8959
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA115563 FL Primary

Addresses

Primary practice location

4002 S Manhattan Ave Apt 48
Tampa, FL 33611-1258

Mailing address

4002 S Manhattan Ave Apt 48
Tampa, FL 33611-1258
Phone (813) 618-8959

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mlane211027@direct.tgh.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220314001902 FL Practitioner - Physician Assistant 4183019995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tampa General Medical Group IncGroup PAC ID 7416253828, 353 clinicians

Practice addresses (Care Compare)

214 Morrison Rd
Suite 110
Brandon, FL 33511-4849
Phone (813) 844-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA115563FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Medical Group Inc CurrentSince Feb 21, 2022 Accepting new patients
Tampa General Medical Group Inc CurrentSince Feb 21, 2022 Accepting new patients
Tampa General Hospital Current Accepting new patients

Locations

214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302

14131 Metropolis Ave
Ste 103
Fort Myers, FL 33912
Phone (239) 224-3501

5 Tampa General Cir
Ste 410
Tampa, FL 33606
Phone (813) 844-7473

2433 Country Place Blvd
Trinity, FL 34655
Phone (813) 844-8200

Interoperability endpoints

  • Direct secure messaging: mlane211027@direct.tgh.org
  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1235881749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 S MANHATTAN AVE APT 48",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111258",
            "telephone_number": "813-618-8959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 S MANHATTAN AVE APT 48",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336111258",
            "telephone_number": "813-618-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MEGHAN",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-08-16",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA115563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mlane211027@direct.tgh.org",
            "affiliation": "N",
            "address_1": "5 Tampa General Cir Ste 410",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336063578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.