Individual provider Active NPI

Lana Marie Chase, CNS

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Atlanta, GA
National Provider Identifier
1346441029
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
RN050194 Issued in GA
Practice address
3490 Bowling Green Way
Atlanta, GA 30340
Phone
(678) 937-9971
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X RN050194 GA Primary

Addresses

Primary practice location

3490 Bowling Green Way
Atlanta, GA 30340

Mailing address

3490 Bowling Green Way
Atlanta, GA 30340-4122
Phone (678) 937-9971

Other practice location 1

445 Winn Way
Decatur, GA 30030-1707
Phone (404) 294-3745

Other practice location 2

390 17th St NW Unit 2020
Atlanta, GA 30363-2001
Phone (404) 541-9699

Other practice location 3

3490 Bowling Green Way
Atlanta, GA 30340
Phone (678) 937-9971

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001282 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 1355232893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Vine Health ServicesGroup PAC ID 6507032893, 3 clinicians

Practice addresses (Care Compare)

1978 Scarbrough Dr
Stone Mountain, GA 30088-4422
Phone (770) 323-7321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN050194GAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Vine Health Services CurrentSince Jan 1, 2023 Accepting new patients
Dekalb Community Service Board CurrentSince Nov 15, 2017 Accepting new patients

Locations

450 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

445 Winn Way
Decatur, GA 30030
Phone (404) 294-3745

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548288000000",
    "number": "1346441029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3490 BOWLING GREEN WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303404122",
            "telephone_number": "678-937-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 BOWLING GREEN WAY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30340",
            "telephone_number": "678-937-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "445 Winn Way",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301707",
            "country_code": "US",
            "telephone_number": "404-294-3745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "390 17th St NW Unit 2020",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303632001",
            "country_code": "US",
            "telephone_number": "404-541-9699",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3490 Bowling Green Way",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30340",
            "country_code": "US",
            "telephone_number": "678-937-9971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "LANA",
        "middle_name": "MARIE",
        "name_prefix": "Prof.",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2019-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN050194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.