Derrick Lane, MD, LLC
NPI 1750620191ActiveOrganization· Family Medicine· Macon, GA
Family Medicine in Macon, Georgia, registered in NPPES in February 2013. The authorized official on file is Derrick Lane, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1750620191 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 5, 2013 |
| Last updated in NPPES | Feb 5, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 052594 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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