Forrest James Lane Jr., D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

34641 Issued in GA

Practice address

2406 Bellevue Rd
Dublin, GA 31021-2842

Phone

(478) 275-4740

Fax

(478) 275-0533

NPI assigned

Nov 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Anesthesiology Associates of Georgia, LLC

  • Anesthesiology Physician
  • Stone Mountain, GA
  • NPI 1528068673
  Medicare reassignment NPD
• Middle Georgia Anesthesia Associates, PC

  dba Dublin Pain Medicine Physicians

  • Pain Medicine (Anesthesiology) Physician
  • Dublin, GA
  • NPI 1427082759
  Medicare reassignment NPD
• Sentry Anesthesia Management, LLC

  • Anesthesiology Physician
  • Newnan, GA
  • NPI 1134544794
  Medicare reassignment NPD
• Ams Southeast LLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1487107157

  GA

  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  GA

  Medicare reassignment NPD
• Alta Anesthesia Associates of Georgia, PC

  • Anesthesiology Physician
  • Brunswick, GA
  • NPI 1275504771
  NPD (past)
• Hospital Authority of Jeff Davis County Georgia

  dba Jeff Davis Family Medical Group

  • Rural Health Clinic/Center
  • Hazlehurst, GA
  • NPI 1912379082
  NPD (past)
• Nes Georgia, Inc.

  • Emergency Medicine Physician
  • Hazlehurst, GA
  • NPI 1144201559
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1881675551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1889",
            "address_2": "2406 BELLEVUE RD STE 22",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310401889",
            "telephone_number": "478-275-4740",
            "fax_number": "478-275-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 BELLEVUE RD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212842",
            "telephone_number": "478-275-4740",
            "fax_number": "478-275-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "FORREST",
        "middle_name": "JAMES",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "34641",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "34641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00473316F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L M Bass LLC (Max Brown Pharmacy)
• L M Bass LLC
• Dorothy Ladson
• Jessica Mullis Lamb, FNP
• Jessica Saunders Land, B.A., ST
• Erin Unika Lanier, RN
• Sue Anne Lassin, LCSW
• Dawn Angelique Lattimore, RN
• Laurens Case Management
• Laurens County Baord of Health (Childrens Medical Services)

• Anesthesiology Physician in Dublin, GA
• Providers in Dublin, GA by specialty
• Anesthesiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.