Glenn D. Lane, M.D. – Orthopaedic Surgery Physician

Key facts

NPI: 1629065909
Entity type: Individual (NPI type 1)
Primary specialty: Orthopaedic Surgery Physician 207X00000X
License: 025204 (GA)
Practice address: 1285 Hembree Rd
Suite 200-a
Roswell, GA 30076-5720
Phone: (770) 475-2710
Fax: (770) 360-0498
NPI assigned: Oct 3, 2005
Sex: Male
Sole proprietor: No

Medicare Care Compare profile

Merit-based Incentive Payment System (MIPS)

Final score: 64.37 of 100 (group)
Quality: 48.85
Promoting interoperability: 100
Improvement activities: 20

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
025204	GA	MD	Orthopaedic Surgery Physician

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Orthopaedic Surgery Physician	207X00000X	025204	GA	Yes

Addresses

Primary practice location

1285 Hembree Rd
Suite 200-a
Roswell, GA 30076-5720

Mailing address

1285 Hembree Rd
Suite 200-a
Roswell, GA 30076-5720
Phone (770) 475-2710

Other names

Dr. G. Dale Lane Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 21, 2007.

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1629065909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD",
            "address_2": "SUITE 200-A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765720",
            "telephone_number": "770-475-2710",
            "fax_number": "770-360-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 HEMBREE RD",
            "address_2": "SUITE 200-A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765720",
            "telephone_number": "770-475-2710",
            "fax_number": "770-360-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "GLENN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "025204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "LANE",
            "middle_name": "DALE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, GA

All providers in Roswell, GA · Orthopaedic Surgery Physician in Georgia

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.