Lane Sports Medicine, Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

LANE SPORTS MEDICINE, INC

Practice address

2801 N Decatur Rd
Suite 200
Decatur, GA 30033-5949

Phone

(404) 296-5005

Fax

(404) 296-5058

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mark Karim Lane, PA

Title

Lane Sports Medicine Owner

Phone

(404) 296-5005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1962597666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335949",
            "telephone_number": "404-296-5005",
            "fax_number": "404-296-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANE SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KARIM",
        "authorized_official_title_or_position": "LANE SPORTS MEDICINE OWNER",
        "authorized_official_telephone_number": "404-296-5005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "GRP7472",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Elizabeth Lamutt, MCD, CCC-SLP
• Patti E. Landerfelt, CRNA
• Margaret Landers
• Paula Jane Landon
• Danica Landry, LPC
• Alberta Canady Lane, P.A,
• Dalvin Rojhotte Lane, M.D.
• Joshua Lane, L.AC
• Dawn A Laney, M.S.
• Stephanie Laney, MS, APC, NCC

• Orthopaedic Surgery Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.