Individual provider Active NPI

George Douglas Lane, DPM

  • Foot Surgery Podiatrist
  • Falls Church, VA
National Provider Identifier
1770566408
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
0103001044 Issued in VA
Practice address
510 W Annandale Rd
Falls Church, VA 22046-4226
Phone
(703) 237-3930
Fax
(703) 649-4233
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 0103001044 VA Primary

Addresses

Primary practice location

510 W Annandale Rd
Falls Church, VA 22046-4226

Mailing address

510 W Annandale Rd
Falls Church, VA 22046-4226
Phone (703) 237-3930

Other identifiers 1

IdentifierTypeStateIssuer
9302719MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150325001714 VA Practitioner - PodiatryPractitioner - Sports Medicine 9739223363 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PodiatryAlso: Sports Medicine
Education
Temple University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergyhealth Foot and Ankle Associates, PLLCGroup PAC ID 5698079382, 5 clinicians

Practice addresses (Care Compare)

14349 Justice Rd
Midlothian, VA 23113-6841
Phone (804) 837-4144

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue372
Removal or shaving of skin growth59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synergyhealth Foot & Ankle Associates, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Foot Forward Podiatry PC CurrentSince Oct 25, 2023 Accepting new patients
Synergyhealth Foot & Ankle Associates, PLLC Foot Surgery CurrentSince Dec 1, 2023 Accepting new patients
Foot Forward Podiatry, LLC Past Accepting new patients
Best Foot Forward Consulting, LLC PastSince Apr 14, 2019 Accepting new patients

Locations

94 South Ave
Harrisonburg, VA 22801
Phone (276) 638-8701

2610 Gaskins Rd
Ste A
Henrico, VA 23238
Phone (804) 310-3894

14349 Justice Rd
Midlothian, VA 23113
Phone (804) 837-4144

9468 Hospital Ave
Nassawadox, VA 23413
Phone (757) 442-5600

200 W Constance Rd
Suffolk, VA 23434
Phone (347) 829-6863

1148 First Colonial Rd
Virginia Beach, VA 23454
Phone (757) 481-3321

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1770566408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W ANNANDALE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464226",
            "telephone_number": "703-237-3930",
            "fax_number": "703-649-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 W ANNANDALE RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464226",
            "telephone_number": "703-237-3930",
            "fax_number": "703-649-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "GEORGE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103001044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9302719",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.