Individual provider Active NPI

Joshua Edward Lane, M.D.

  • MOHS-Micrographic Surgery Physician
  • Columbus, GA
National Provider Identifier
1336146091
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
51155 Issued in GA
Practice address
1210 Brookstone Centre Parkway
Columbus, GA 31904-9272
Phone
(706) 322-1717
Fax
(706) 322-1718
NPI assigned
Jul 7, 2005
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 051155 GA
MOHS-Micrographic Surgery Physician 207ND0101X 51155 GA Primary

Addresses

Primary practice location

1210 Brookstone Centre Parkway
Columbus, GA 31904-9272

Mailing address

1210 Brookstone Centre Parkway
Columbus, GA 31904-9272
Phone (706) 322-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040617000482 GA Practitioner - Dermatology 0042294944 Reassigns benefits to 1 organization
I20240628002476 AL Practitioner - Dermatology 0042294944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Mercer University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lane Dermatology and Dermatologic Surgery LLCGroup PAC ID 7719072941, 7 clinicians
Lane Dermatology, LLCGroup PAC ID 2163966383, 4 clinicians

Practice addresses (Care Compare)

1210 Brookstone Centre Pkwy
Columbus, GA 31904-2954
Phone (706) 322-1717

338 Samford Village Court
Auburn, AL 36830
Phone (706) 322-1717

Merit-based Incentive Payment System (MIPS)

Final score
82.42 of 100Reported as group
Quality
82.18
Improvement activities
40
Cost
65.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision267
Removal of skin lesions330
Removal of skin cancer1189
Removal of nail tissue14
Removal or shaving of skin growth1-10
Skin biopsy150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051155GAMDDermatology Physician
51155GAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lane Dermatology & Dermatologic Surgery LLC Mohs-Micrographic Surgery CurrentSince Jul 1, 2007 Accepting new patients
Lane Dermatology, LLC Dermatology CurrentSince Mar 16, 2024 Accepting new patients
Lane Dermatologic Surgery Center, LLC CurrentSince Apr 3, 2009 Accepting new patients
Skin Care Physicians of Georgia, P.C. Dermatology PastSince Dec 1, 1999 Accepting new patients

Locations

338 Samford Village Ct
Auburn, AL 36830
Phone (334) 884-1717

338 Samford Village Ct
Ste 100
Auburn, AL 36830

1210 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 322-1717

1210 Brookstone Centre Pkwy
Ste 200
Columbus, GA 31904
Phone (706) 322-1717

2301 Brookstone Centre Pkwy
Ste 200
Columbus, GA 31904
Phone (706) 573-6545

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEFDAA

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1336146091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BROOKSTONE CENTRE PARKWAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049272",
            "telephone_number": "706-322-1717",
            "fax_number": "706-322-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BROOKSTONE CENTRE PARKWAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049272",
            "telephone_number": "706-322-1717",
            "fax_number": "706-322-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JOSHUA",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "051155",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "51155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.