Marian Lane, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

21262 Issued in GA

Practice address

215 Mims Rd
Sylvania, GA 30467-1994

Phone

(904) 805-1300

Fax

(904) 805-1302

NPI assigned

Jul 2, 2006

Last updated

Mar 17, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Screven County Family Health Center, LLC

  dba Optim Primary Care - Sylvania

  • Rural Health Clinic/Center
  • Sylvania, GA
  • NPI 1841432044
  NPD (past)
• Sterling Emergency Services of the Southeast Inc

  • Emergency Medicine Physician
  • Eatonton, GA
  • NPI 1992763627
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1689603672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532768",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532768",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MIMS RD",
            "city": "SYLVANIA",
            "state": "GA",
            "postal_code": "304671994",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MARIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "21262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "027300",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00410868",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latrell Jenkins, C.N.A.
• Mary Beth Jones-Godbee, RN
• William Kent, MD
• Kayla Kirkland, PHARMD
• Natalie Knight
• Dakota Michelle Lee, RN
• Maria H. Martinson, D.M.D.
• Amanda Brooke McBride, PT
• Sidney James Morgan, M.D., M.P.H.
• Sidney Joseph Morgan, M.D.

• Emergency Medicine Physician in Sylvania, GA
• Providers in Sylvania, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.