Individual provider Active NPI

McKenzie Lane, PA

  • Physician Assistant
  • Atlanta, GA
National Provider Identifier
1841900719
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11277 Issued in GA
Practice address
3240 Northeast Expy NE
Atlanta, GA 30341-4003
Phone
(404) 480-9330
NPI assigned
Dec 1, 2022
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11277 GA Primary

Addresses

Primary practice location

3240 Northeast Expy NE
Atlanta, GA 30341-4003

Mailing address

3400 Old Milton Pkwy Ste 301
Alpharetta, GA 30005-3707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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

Enrollment IDStateProvider typePAC IDDetails
I20250106002280 GA Practitioner - Physician Assistant 8022546928 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3400 Old Milton Pkwy
Alpharetta, GA 30005-3707
Phone (678) 384-4911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Dec 10, 2025 Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Jan 20, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Dec 10, 2025 Accepting new patients
Barbour Orthopaedics & Sports Medicine PC Orthopaedic Surgery Current Accepting new patients
Orthoatlanta, LLC Orthopaedic Surgery CurrentSince Jan 20, 2025 Accepting new patients
Barbour Orthopaedics & Sports Medicine PC Past Accepting new patients
Barbour Orthopaedics & Sports Medicine PC Past Accepting new patients

Locations

3400 Old Milton Pkwy
Ste C395
Alpharetta, GA 30005
Phone (678) 384-4911

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1265 Highway 54 W
Ste 308
Fayetteville, GA 30214
Phone (678) 216-0771

620 Cherokee St NE
Ste 300
Marietta, GA 30060
Phone (770) 635-1812

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mckenzie.lane.1@8042.direct.athenahealth.com
  • Direct secure messaging: mckenzie.lane@barbourortho.gadirect.net

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1841900719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE 301",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 NORTHEAST EXPY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414003",
            "telephone_number": "404-480-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "MCKENZIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "11277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.