Individual provider Active NPI

Gregory D. Lanier, P.A.

  • Medical Physician Assistant
  • Manchester, TN
National Provider Identifier
1417949330
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4459 Issued in TN
Practice address
1405 Hillsboro Blvd
Manchester, TN 37355-2107
Phone
(931) 954-1020
Fax
(833) 441-2291
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4459 TN Primary
Medical Physician Assistant 363AM0700X PA11273 CA

Addresses

Primary practice location

1405 Hillsboro Blvd
Manchester, TN 37355-2107

Mailing address

36951 Cook St Ste 102
Palm Desert, CA 92211-6082
Phone (760) 342-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040112000588 CA Practitioner - Physician Assistant 8325948557 Reassigns benefits to 2 organizations
I20210908000884 TN Practitioner - Physician Assistant 8325948557 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GK Healthcare Solutions LLCGroup PAC ID 9931629979, 8 clinicians

Practice addresses (Care Compare)

7175 Nolensville Rd
Suite 202
Nolensville, TN 37135-9656
Phone (931) 368-9770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11273CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Springs Orthopaedics, PC CurrentSince Jul 1, 2022 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Jul 8, 2022 Accepting new patients
Desert Orthopedic Center a Medical Group Inc Medical CurrentSince Jan 5, 2009 Accepting new patients
Privia Medical Group Tennessee LLC CurrentSince Jul 8, 2022 Accepting new patients
Douglas J. Roger M.D.,Inc., a Professional Corporation Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

1180 N Indian Canyon Dr
Ste W110
Palm Springs, CA 92262
Phone (760) 416-4600

39700 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

317 Seven Springs Way
Ste 101
Brentwood, TN 37027
Phone (615) 309-2636

1009 N Locust Ave
Lawrenceburg, TN 38464
Phone (931) 244-7181

1405 Hillsboro Blvd
Manchester, TN 37355
Phone (931) 728-8152

Organizations & group practices 10

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": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1417949330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36951 COOK ST STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116082",
            "telephone_number": "760-342-8444",
            "fax_number": "760-342-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552107",
            "telephone_number": "931-954-1020",
            "fax_number": "833-441-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANIER",
        "first_name": "GREGORY",
        "middle_name": "D.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "4459",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.