Lana Cankovic, MD
Individual provider Active NPI Anesthesiology Physician · Mariettta, GA
NPI 1639110877 · NPPES record last updated Jul 30, 2008
Key facts
- NPI
- 1639110877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 055186 (GA)
- Practice address
- 51 Roselane Street NW
Suite 750
Mariettta, GA 30060 - Phone
- (770) 794-0477
- Fax
- (770) 794-3108
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sentry Anesthesia Management, LLC
Emory Medical Care Foundation Inc
Practice addresses (Care Compare)
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000
Hospital & facility affiliations
- Piedmont Newton Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.24 of 100
- Quality
- 73.72
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040503001415 | AL | Practitioner - Anesthesiology | 2163410754 | Reassigns benefits to 3 organizations |
| I20080703000399 | GA | Practitioner - Anesthesiology | 2163410754 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36661 | TN | MD | Pharmacist |
| 25350 | AL | MD | Anesthesiology Physician |
| 055186 | GA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Anesthesia of Georgia LLC | Anesthesiology | Current |
Accepting new patients |
| Emory Medical Care Foundation | Anesthesiology | Current |
Accepting new patients |
| Emory Specialty Associates, LLC | Anesthesiology | Current |
Accepting new patients |
| Anesthesia Associates | Anesthesiology | Current |
Accepting new patients |
| Sentry Anesthesia Management, LLC | Anesthesiology | Current |
Accepting new patients |
| Epix Anesthesia of Alabama LLC | Anesthesiology | Current |
Accepting new patients |
| Emory Medical Care Foundation Inc | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Alabama-TCS Inc | Anesthesiology | Current |
Accepting new patients |
| Emory Medical Care Foundation Inc | Anesthesiology | Current | Accepting new patients |
| University Anesthesiologists, PLLC | Anesthesiology | Past | Accepting new patients |
| University Anesthesiologists, PLLC | Past | Accepting new patients | |
| Anesthesia Solutions of Anniston | Anesthesiology | Past | Accepting new patients |
| Georgia Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
1 Commerce Sq
Gadsden, AL 35901
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193
1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812
5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25350 | AL | |
| Anesthesiology Physician | 207L00000X | 055186 | GA | Yes |
Addresses
Primary practice location
51 Roselane Street NW
Suite 750
Mariettta, GA 30060
Mailing address
51 Roselane Street NW
Suite 750
Mariettta, GA 30060
Phone (770) 794-0477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009949135 | Medicaid | AL | |
| 051520796 | Other | AL | BLUE CROSS |
| 010033CH72657 | Other | AL | SECTION 1011 |
| 051520798 | Other | AL | BLUE CROSS |
| 009947365 | Medicaid | AL | |
| 051520797 | Other | AL | BLUE CROSS |
| 07833224 | Other | MS | MISSISSIPPI MEDICAID |
| P00215395 | Other | AL | RAILROAD MEDICARE |
Other providers in Mariettta, GA
All providers in Mariettta, GA · Anesthesiology 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 Jul 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- 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.