TRACY LANE D.O. NPI 1013923218

NPI Information

NPI: 1013923218
Provider Name: TRACY LANE, D.O.
Classification: Independent Medical Examiner - 202C00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2221 PEACHTREE RD NE
STE D658
ATLANTA, GA
ZIP 30309
Phone: (404) 855-4503
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Tracy Lane, D.O. is an independent medical examiner in Atlanta, GA. The provider is a special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. Tracy Lane, D.O. NPI is 1013923218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2221 PEACHTREE RD NE
STE D658
ATLANTA, GA
ZIP 30309-148
Phone: (404) 855-4503
Fax: (404) 855-4503

The NPI 1013923218 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 2/23/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	202C00000X	Independent Medical Examiner		055676	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	535673028C	MEDICAID	GEORGIA
2	535673028B	MEDICAID	GEORGIA
3	H60120	MEDICARE UPIN	GEORGIA
4	202I088894	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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