TRACY LANE


Address: 2221 Peachtree Rd Ne, Ste D658, Atlanta, GA 30309-1148
Phone: 4048554503

TRACY LANE (NPI# 1013923218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013923218
Entity Type Individual
Full Name TRACY LANE
Credential D.O.
Practice Address 2221 Peachtree Rd Ne
Ste D658
Atlanta
GA 30309-1148
Practice Telephone 4048554503
Practice Fax Number 4048554503
Mailing Telephone 4048554503
Mailing Fax Number 4048554503
Enumeration Date 2006-07-31
Last Update Date 2017-02-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 202C00000X Independent Medical Examiner 055676 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA 535673028B 05
GA 535673028C 05

Other Providers TRACY LANE

NPI Name Taxonomy Address Enumeration
1073099503 Tracy Elaine Lane Nurse Practitioner 20169 E 960 Rd, Hammon, OK 73650-5032 2018-07-18
1083102495 Tracy Nicole Lane Pharmacist 8101 E Brainerd Rd, Chattanooga, TN 37421-4302 2018-05-01
1568988210 Tracy Lane Physical Therapist 333 Borthwick Ave, Portsmouth, NH 03801-7128 2017-08-15

Office Location

Street Address 2221 PEACHTREE RD NE
STE D658
City ATLANTA
State GA
Zip Code 30309-1148

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235193632 Waindel Belizaire Internal Medicine 2221 Peachtree Rd Ne, Ste D195, Atlanta, GA 30309-1148 2006-04-13
1801289541 Partners Medical & Surgical Associates LLC Physician Assistant 2221 Peachtree Rd Ne, Suite 471d, Atlanta, GA 30309-1148 2015-03-05
1730517046 Alyssa P Mccarthy Physical Therapist 2221 Peachtree Rd Ne, Suite D336, Atlanta, GA 30309-1148 2013-10-23
1457787574 Lisa V Alexander Physical Therapist 2221 Peachtree Rd Ne, Suite D336, Atlanta, GA 30309-1148 2013-09-20
1649614629 Samera M Eckl Physical Therapist 2221 Peachtree Rd Ne, Ste D 336, Atlanta, GA 30309-1106 2013-04-22
1336428002 Charnelda Gray Lewis Pharmacist 2221 Peachtree Rd Ne, D-467, Atlanta, GA 30309-1148 2011-08-11
1144545922 Opulent Wellness LLC Clinic/Center 2221 Peachtree Rd Ne, Ste. P33, Atlanta, GA 30309-1148 2010-04-05
1770808545 Keisha Monique Gwinn Massage Therapist 2221 Peachtree Rd Ne, Ste. P33, Atlanta, GA 30309-1148 2010-04-05
1629390836 Liberty Bell Group Inc Internal Medicine 2221 Peachtree Rd Ne, Ste D650, Atlanta, GA 30309-1148 2010-02-16
1386886448 New Lifestyle, Inc. Family Medicine 2221 Peachtree Rd Ne, Suite D-299, Atlanta, GA 30309-1148 2009-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396382354 Astoria Dentistry LLC Dentist 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 2019-12-09
1487133740 S2 Telehealth Technologies, LLC Psychiatry & Neurology 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 2018-08-08
1841782620 Janie Mardis Social Worker 3 Park Ln Ne, Apt H, Atlanta, GA 30309 2018-06-06
1083102842 Veronica L Bentley Specialist/Technologist, Other 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 2018-04-27
1427566363 Net Medical Corp Chiropractor 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 2018-01-12
1871000463 Mary James (jamie) Johnson Counselor 1100 Spring Street, Suite 380, Atlanta, GA 30309 2018-01-04
1306377817 Aliyah Lamis Scott Social Worker 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 2017-03-26
1013450774 Caroline Hallen Nurse Practitioner 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 2016-11-29
1528501723 Ant-aging Queen Nutritionist 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 2016-11-21
1790231439 Nurse 2 Health Home Care LLC Home Health 1075 Peachtree Street Ne, Atlanta, GA 30309 2016-09-01
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Taxonomy Information

Taxonomy Code 202C00000X
Grouping Allopathic & Osteopathic Physicians
Classification Independent Medical Examiner

Taxonomy Definition

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.
Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1609415132 Oss Care & Consulting, LLC Independent Medical Examiner 166 Anderson St Se Ste 225, Marietta, GA 30060-1984 2020-01-01
1508346537 Aja Mclemore Independent Medical Examiner 111 Rucker Ln Apt 1203, Statesboro, GA 30458-3323 2018-08-20
1740600998 David S Silverstein Independent Medical Examiner 1770 Cedars Rd, Lawrenceville, GA 30045-6710 2014-04-25
1811435464 Coffee County Hospitalist Physicians, LLC Independent Medical Examiner 1101 Ocilla Rd, Douglas, GA 31533-2207 2017-02-03
1437356359 Vidalia Ob Gyn Independent Medical Examiner 1707 Meadows Lane, Vidalia, GA 30474 2007-07-03

Competitor

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City ATLANTA
Zip Code 30309

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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