P Praxis·MD
● Active Type 1 · Individual

Cyrenah Nicole Lane, D.O.

Family Medicine·Cordele, GA· NPI 1205360021 · Enumerated 2017 · 9 years on NPI
Lane is 1 of 12 family medicine providers in Cordele and 1 of 5448 in Georgia.
NPI age
9 years
Enumerated 2017-04-18
Primary specialty
Family Medicine
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-29
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
9 years
↓ 8 yr below median (17 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
116 E 4th Ave
Cordele, GA 310153210
📞 2292763677fax 2292763679
Mailing address
902 N 7th St Ste 140e
Cordele, GA 310153270
📞 2292763100

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 #84720 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (GA) 003192565C

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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