Tanda Nichole Lane, M.D.

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

License

000893 Issued in GA

Practice address

1210 Brookstone Centre Pkwy
Columbus, GA 31904-2954

Phone

(706) 322-1717

Fax

(706) 322-1718

NPI assigned

Mar 4, 2007

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

Enrolled in GA

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 1

Specialty

Dermatology

Education

Medical College of Georgia School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lane Dermatology and Dermatologic Surgery LLCGroup PAC ID 7719072941, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Columbus Regional Midtown Hospital, Columbus, GA, CCN 110064

Merit-based Incentive Payment System (MIPS)

Final score

82.42 of 100Reported as group

Quality

82.18

Improvement activities

40

Cost

65.18

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BEFDAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lane Dermatology & Dermatologic Surgery LLC

  • MOHS-Micrographic Surgery Physician
  • Columbus, GA
  • NPI 1437363587
  Medicare reassignment Care Compare group NPD
• Lane Dermatologic Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Columbus, GA
  • NPI 1922392364
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Medical Center Inc

  dba Piedmont Columbus Regional Midtown

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1255401519
  Care Compare affiliation

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1891824108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042954",
            "telephone_number": "706-322-1717",
            "fax_number": "706-322-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 BROOKSTONE CENTRE PKWY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042954",
            "telephone_number": "706-322-1717",
            "fax_number": "706-322-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "TANDA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "000893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Landmark Counseling Services, LLC
• Bobby G Landrum, NP
• Lane Dermatologic Surgery Center, LLC
• Lane Dermatology & Dermatologic Surgery LLC
• Joshua Edward Lane, M.D.
• Tanisha Zakia Lane
• William Blake Lane, D.D.S., M.S.D., PC
• Yarvarious Tarvett Lane, PMHNP
• Wanda Laney-Collier, NP
• Andria Laney

• Procedural Dermatology Physician in Columbus, GA
• Providers in Columbus, GA by specialty
• Procedural Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.
• 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.

Verify at the official NPI Registry.