John Anthony Lane, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08114 Issued in NC

Practice address

2149 Valleygate Dr Ste 201
Fayetteville, NC 28304-3668

Phone

(910) 728-4410

NPI assigned

Oct 1, 2009

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Physician Assistant

Education

Univ of Nebraska Medical Center, Col of Dentistry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Pain Solutions PLLCGroup PAC ID 3678527181, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Integrated Pain Solutions PLLC

  • Interventional Pain Medicine Physician
  • Southern Pines, NC
  • NPI 1790728921
  Medicare reassignment Care Compare group NPD
• Integrated Pain Solutions PLLC

  • Interventional Pain Medicine Physician
  • Asheboro, NC
  • NPI 1114766102
  NPD

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1720312168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CASTLEBAY DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273326272",
            "telephone_number": "910-725-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 VALLEYGATE DR STE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043668",
            "telephone_number": "910-728-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Landry
• Teresa Landry
• Lane and Associates VIII DDS PA
• Assa Danelle Lane, LCAS-A
• Daniel Scott Lane
• Lamont Lane
• Robert Anthony Lane Jr.
• Theodore W. Lane, PH.D.
• Danielle Marie Lang, ATC
• Jessica Noelle Lange, OTR/L

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.