Active NPI
George Douglas Lane, DPM
- Foot Surgery Podiatrist
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 0103001044
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9302719 | Medicaid | VA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150325001714 | VA | Practitioner - Podiatry | 9739223363 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- 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, PLLC
Practice addresses (Care Compare)
14349 Justice Rd
Midlothian, VA 23113-6841
Phone (804) 837-4144
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 372 |
| Removal or shaving of skin growth | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergyhealth Foot & Ankle Associates, PLLC | Current | Accepting new patients | |
| Foot Forward Podiatry PC | Current | Accepting new patients | |
| Synergyhealth Foot & Ankle Associates, PLLC | Foot Surgery | Current | Accepting new patients |
| Foot Forward Podiatry, LLC | Past | Accepting new patients | |
| Best Foot Forward Consulting, LLC | Past | 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.
-
- Foot & Ankle Surgery Podiatrist
- Midlothian, VA
- NPI 1326414558
Foot Surgery, VA
-
- Foot & Ankle Surgery Podiatrist
- Henrico, VA
- NPI 1285317404
-
- Podiatrist
- Richmond, VA
- NPI 1083065189
-
- Foot & Ankle Surgery Podiatrist
- Philadelphia, PA
- NPI 1104152552
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; 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.