Lanes-DME, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

LANES-DME, INC.

Doing business as

Lanes Medical Shoppe

Practice address

210 W Main St Ste 3
Colquitt, GA 39837-3434

Phone

(229) 758-9111

Fax

(229) 758-9000

NPI assigned

Mar 19, 2008

Last updated

Aug 30, 2019By 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

Richard Blake Womble

Title

Ceo

Phone

(229) 758-9111

Specialties & licenses 1

Addresses

Other names 1

• LANES MEDICAL SHOPPE Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

Lane's Pharmacy DME Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lane's Pharmacy & DME Inc

  dba Lanes Medical Shoppe

  • Oxygen Equipment & Supplies (DME)
  • Colquitt, GA
  • NPI 1679567168
  NPD tax ID

Locations

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1306017223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST STE 3",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373434",
            "telephone_number": "229-758-9111",
            "fax_number": "229-758-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST STE 3",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373434",
            "telephone_number": "229-758-9111",
            "fax_number": "229-758-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANES-DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "WOMBLE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-758-9111"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANES MEDICAL SHOPPE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edgar Lowell Justice, MD
• Robert Marvin Kikel, D.D.S
• Virginia Kirkland, RD, LD, CECES
• Robert Anson Lane, DMD
• Lane's Pharmacy & DME Inc (Lanes Medical Shoppe)
• Loving Care Personal Care Home
• Brent Martin
• Donna L McCann, M.D.
• Stephanie Cook McLain, APRN, FNP-C
• Caroline Middleton

• Oxygen Equipment & Supplies (DME) in Colquitt, GA
• Providers in Colquitt, GA by specialty
• Oxygen Equipment & Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.