Active NPI
Dr. Jason R Laney, PC
Doing business as Laney Internal Medicine Group
- Primary Care Clinic/Center
- Hazlehurst, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DR. JASON R LANEY, PC
- Doing business as
- Laney Internal Medicine Group
- Practice address
- 209 S Tallahassee St
Hazlehurst, GA 31539-6025 - Phone
- (912) 375-3095
- Fax
- (912) 375-0064
- NPI assigned
- Oct 1, 2018
- Last updated
- Jun 28, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jason Laney, MD
- Title
- President
- Phone
- (912) 375-3095
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
209 S Tallahassee St
Hazlehurst, GA 31539-6025
Mailing address
PO Box 730
Hazlehurst, GA 31539-0730
Phone (912) 375-3095
Other names 1
- Laney Internal Medicine Group
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2155759 | Laney Internal Medicine Group | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Hazlehurst, GA
- NPI 1760708580
-
- Family Nurse Practitioner
- Hazlehurst, GA
- NPI 1023536646
-
- Nurse Practitioner
- Reidsville, GA
- NPI 1174064851
-
- Family Nurse Practitioner
- Hazlehurst, GA
- NPI 1497976781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561680000000",
"number": "1891270393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 730",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315390730",
"telephone_number": "912-375-3095",
"fax_number": "912-375-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S TALLAHASSEE ST",
"city": "HAZLEHURST",
"state": "GA",
"postal_code": "315396025",
"telephone_number": "912-375-3095",
"fax_number": "912-375-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. JASON R LANEY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-01",
"last_updated": "2019-06-28",
"status": "A",
"authorized_official_last_name": "LANEY",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "912-375-3095",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Laney Internal Medicine Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Laney Internal Medicine Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hazlehurst, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.