Individual provider Active NPI

Clayton Gray Lane, MD

  • Orthopaedic Surgery Physician
  • Mobile, AL
National Provider Identifier
1407078884
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
28325 Issued in AL
Practice address
1720 Spring Hill Ave FL 3
Mobile, AL 36604-1410
Phone
(251) 435-2663
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.28325 AL
Orthopaedic Surgery Physician 207X00000X 28325 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave FL 3
Mobile, AL 36604-1410

Mailing address

1720 Spring Hill Ave FL 3
Mobile, AL 36604-1410
Phone (251) 435-2663

Other identifiers 1

IdentifierTypeStateIssuer
009910928MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070823000217 AL Practitioner - Physical Medicine and RehabilitationPractitioner - Orthopedic Surgery 9234221110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Orthopedic Surgery
Education
Boston University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1720 Spring Hill Ave
Suite 3
Mobile, AL 36604-1410
Phone (251) 435-2663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)15
Upper limb (arm) arthroscopy (minimally invasive joint repair)21
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28325ALMDOrthopaedic Surgery Physician
MD.28325ALMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imc -Gulf Orthopaedics LLC Orthopaedic Surgery CurrentSince Jun 14, 2021 Accepting new patients
Southern Orthopaedic Alliance PLLC Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
Southern Orthopaedic Alliance, PLLC Orthopaedic Surgery CurrentSince Jun 1, 2023 Accepting new patients
Imc -Gulf Orthopaedics LLC Orthopaedic Surgery CurrentSince Jun 14, 2021 Accepting new patients
Gulf Coast Surgical Partners LLC PastSince Jun 4, 2004 Accepting new patients
Alabama Orthopaedic Clinics, PC Orthopaedic Surgery Past Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

831 Hillcrest Rd
Ste C
Mobile, AL 36695
Phone (251) 633-4949

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone 2517763569000

75 Shell St
Ste 200
Saraland, AL 36571

Interoperability endpoints

  • Direct secure messaging: clane13792@directinfirmaryhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1407078884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE FL 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE FL 3",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041410",
            "telephone_number": "251-435-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "CLAYTON",
        "middle_name": "GRAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD.28325",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "28325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009910928",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.