Active NPI
Joey Darrell Lane
- Registered Nurse
- Brunswick, GA
National Provider Identifier
1831078005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN711431
- Practice address
- 2415 Parkwood Dr
Brunswick, GA 31520-4722 - Phone
- (912) 466-7000
- NPI assigned
- Aug 30, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN711431 | GA | Primary |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 5024599 | NC |
Addresses
Primary practice location
2415 Parkwood Dr
Brunswick, GA 31520-4722
Mailing address
478 Sloan Hill Rd
Hortense, GA 31543-9851
Phone (912) 506-9561
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN711431 | GA | MD | Registered Nurse |
| 5024599 | NC | MD | Critical Care Medicine Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780790400000",
"number": "1831078005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "478 SLOAN HILL RD",
"city": "HORTENSE",
"state": "GA",
"postal_code": "315439851",
"telephone_number": "912-506-9561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 PARKWOOD DR",
"city": "BRUNSWICK",
"state": "GA",
"postal_code": "315204722",
"telephone_number": "912-466-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "JOEY",
"middle_name": "DARRELL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-30",
"last_updated": "2026-06-07",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN711431",
"primary": true
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NC",
"license": "5024599",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.