464 Wellness Solutions LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

464 WELLNESS SOLUTIONS LLC

Doing business as

Lane Medical LLC

Practice address

3184 Turman Rd
Edison, GA 39846-7407

Phone

(706) 916-7716

NPI assigned

Jul 18, 2023

Last updated

Jul 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayla Lane, NP

Title

Ceo

Phone

(706) 207-5860

Specialties & licenses 1

Addresses

Other names 1

• Lane Medical LLC Doing business as

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1285314088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "COOLIDGE",
            "state": "GA",
            "postal_code": "317380822",
            "telephone_number": "706-916-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 TURMAN RD",
            "city": "EDISON",
            "state": "GA",
            "postal_code": "398467407",
            "telephone_number": "706-916-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "464 WELLNESS SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-207-5860",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lane Medical LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albany Area Primary Health Care, Inc. (Edison Medical Center)
• Calhoun County Special Education
• Shemika L Cox, LPN
• Melissa Hunt Dozier, FNP
• Edison Pharmacy LLC (Lane Drug Co)

• Psychiatric/Mental Health Nurse Practitioner in Edison, GA
• Providers in Edison, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.