Sherry A Lane, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1797 Issued in GA

Practice address

3775 Venture Dr BLDG F
Duluth, GA 30096-5102

Phone

(404) 947-6522

NPI assigned

Oct 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: sherry.lane.p1@direct.aicaorthopedics.nextgenshare.com

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1801512199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 HALCYON WAY APT 101",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052393",
            "telephone_number": "404-667-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3775 VENTURE DR BLDG F",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965102",
            "telephone_number": "404-947-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J Lamb Jr., PHARM.D.
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• Devonta Markeice Lancaster, RBT
• Thaddeus Ivory Lancaster, MD
• Robbin M Lang, M.S.
• Lisa Nicole Langlois, CAA
• Frances Ann Lanza, LCSW
• Lisa Laroche, LCSW
• Barbara Jean Larsen, LCSW

• Medical Physician Assistant in Duluth, GA
• Providers in Duluth, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.