P Praxis·MD
● Active Type 1 · Individual

Derrick F Lane, M.D.

Family Medicine·MacOn, GA· NPI 1124079447 · Enumerated 2006 · 20 years on NPI
Lane is 1 of 184 family medicine providers in MacOn and 1 of 5448 in Georgia.
NPI age
20 years
Enumerated 2006-05-12
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-01-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
818 Forsyth Street
MacOn, GA 312012139
📞 4786337010
Mailing address
P.o. Box 28170
MacOn, GA 312218170
📞 4782545943fax 4782546093

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #052594 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 155203137B
05 (GA) 155203137C
01 (GA) P00Q81500 RR MEDICARE

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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