Active NPI
Alyson Lane, FNP
- Family Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN186973
- Practice address
- 687 Johnson Ferry Rd
Marietta, GA 30068-4628 - Phone
- (770) 977-9220
- NPI assigned
- Jun 28, 2012
- Last updated
- May 21, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN186973 | GA | Primary |
Addresses
Primary practice location
687 Johnson Ferry Rd
Marietta, GA 30068-4628
Mailing address
803 Serramonte Dr
Marietta, GA 30068-4652
Phone (404) 277-2866
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11710 Alpharetta Hwy
Roswell, GA 30076-3807
Phone (866) 389-2727
1380 Woodstock Rd
Roswell, GA 30075-2141
Phone (866) 389-2727
1600 Towne Lake Pkwy
Woodstock, GA 30189-1585
Phone (866) 389-2727
2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727
3785 Sixes Rd
Canton, GA 30114-7809
Phone (866) 389-2727
6120 Hickory Flat Hwy
Canton, GA 30115-7252
Phone (866) 389-2727
687 Johnson Ferry Rd
Marietta, GA 30068-4628
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic LLC | Family | Current | Accepting new patients |
| Primary Care PLLC | Family | Current | Accepting new patients |
Locations
687 Johnson Ferry Rd
Marietta, GA 30068
Phone (770) 977-9220
5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299
11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141
7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Organizations & group practices 2
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": "1340841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400630400000",
"number": "1952665556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 SERRAMONTE DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684652",
"telephone_number": "404-277-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "687 JOHNSON FERRY RD",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684628",
"telephone_number": "770-977-9220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANE",
"first_name": "ALYSON",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-28",
"last_updated": "2014-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN186973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.