NPIMap

Organization Active NPI

Lane Dermatology & Dermatologic Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Columbus, GA
National Provider Identifier
1437363587
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
Legal business name
LANE DERMATOLOGY & DERMATOLOGIC SURGERY LLC
Practice address
1210 Brookstone Centre Parkway
Columbus, GA 31904-9272
Phone
(706) 322-1717
Fax
(706) 322-1718
NPI assigned
May 9, 2007
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

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

Authorized official

Name
Dr. Joshua Edward Lane, M.D.NPI 1336146091
Title
Provider/President
Phone
(706) 322-1717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071003000648 GA Part B Supplier - Clinic/Group Practice 7719072941 Receives reassigned benefits from 9 practitioners
Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

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

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1437363587",
    "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": {
        "organization_name": "LANE DERMATOLOGY & DERMATOLOGIC SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PROVIDER/PRESIDENT",
        "authorized_official_telephone_number": "706-322-1717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.