TYRONE D. LANE ENTERPRISES, INCORPORATED (NPI# 1972927861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972927861 |
| Entity Type | Organization |
| Organization Name | TYRONE D. LANE ENTERPRISES, INCORPORATED |
| Practice Address |
5304 Panola Industrial Boulevard Suite L Decatur GA 30035 |
| Practice Telephone | 6786774041 |
| Mailing Telephone | 6786774041 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |
| Authorized Official Name | MR. TYRONE D. LANE (PRESIDENT/CEO) |
| Authorized Official Telephone | 6786774041 |
| Authorized Official Credential | MPSY |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
5304 PANOLA INDUSTRIAL BOULEVARD SUITE L |
| City | DECATUR |
| State | GA |
| Zip Code | 30035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972079978 | James L Vinson, Phd | Home Health Aide | 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 | 2018-10-17 |
| 1417445206 | Kamla Gonzales | Nurse Practitioner | 5146 Miller Woods Trl, Decatur, GA 30035 | 2018-04-26 |
| 1578924924 | Alicia Marie Johnson Bryant | Social Worker | 5878 Covington Hwy, Decater, GA 30035 | 2016-03-14 |
| 1568865756 | Tracy Roberson | Counselor | 4150 Snapfinger Woods Drive, Decatur, GA 30035 | 2014-10-01 |
| 1013255355 | Mervin E Williams | Pharmacist | 2075 South Hairston, Decatur, GA 30035 | 2013-01-22 |
| 1205187572 | Mariana Simpson-walker | Speech-Language Pathologist | 4262 Clausell Ct Ste A, Decatur, GA 30035 | 2012-09-27 |
| 1053683854 | Jimiesh G Crane | Dentist | 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 | 2012-02-08 |
| 1568765824 | Salih Robinson | Health Educator | 2511 Lantrac Ct, Decatur, GA 30035 | 2010-12-08 |
| 1831428234 | Thomas Counseling | Counselor | 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 | 2009-12-14 |
| 1154572584 | Maurice Antonio Brown | Dentist | 5406 Covington Hwy Suite - B, Mab Dental Associates, Decatur, GA 30035 | 2008-10-03 |
| Find all providers in zip 30035 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942681580 | You and Me Corp | Case Management | One West Court Square, Suite 750, Decatur, GA 30030 | 2015-06-09 |
| 1760823256 | Urban Temple Studio 107 | Case Management | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2013-07-11 |
| 1588002380 | Before&after Supportive Housing Services | Case Management | 1434 Scott Blvd, Decatur, GA 30030-1424 | 2013-06-13 |
| 1982962155 | Terra T. Darrisaw | Case Management | 4526 Yorkdale Dr, Decatur, GA 30035-4253 | 2012-04-25 |
| 1972803021 | Garrett Consulting & Case Mgmt Svc | Case Management | 3013 Rainbow Dr., Suite 112e, Decatur, GA 30034-1644 | 2010-10-22 |
| 1346552478 | Jd Wallace Enterprises | Case Management | 4286 Memorial Dr Ste C, Suite B, Decatur, GA 30032-1221 | 2010-07-06 |
| 1023222627 | Macon County Mental Health Board | Case Management | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2007-05-10 |
| 1205979986 | Morgan County Health Dept Epsdt Cm | Case Management | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-14 |
| 1992847172 | Prairieland Service Coordination Inc | Case Management | 4847 Us Route 36e, Decatur, IL 62521-9736 | 2007-02-13 |
| 1306907431 | Bridges for Families Incorporated | Case Management | 1524 Church St Ste E, Pmb175, Decatur, GA 30030-6500 | 2006-12-13 |
| Find all providers in DECATUR | ||||
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| 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.