Individual provider Active NPI

Alyson Lane, FNP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1952665556
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN186973 Issued in GA
Practice address
687 Johnson Ferry Rd
Marietta, GA 30068-4628
Phone
(770) 977-9220
NPI assigned
Jun 28, 2012
Last updated
May 21, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120810000483 GA Practitioner - Nurse Practitioner 9739335563 Reassigns benefits to 2 organizations

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
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

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

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jul 27, 2012 Accepting new patients
Primary Care PLLC Family CurrentSince Oct 4, 2024 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

Verify at the official NPI Registry.