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NPI 1750620191
● Active Type 2 · Organization
Derrick Lane, Md, Llc
Family Medicine · MacOn, GA · NPI 1750620191
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Enumerated 2013 · 13 years on NPI
Derrick Lane, Md, Llc is 1 of 5448 family medicine organizations in Georgia.
NPI age
13 years
Enumerated 2013-02-05
Primary specialty
Family Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lane
Owner
Last NPPES update
2013-02-05
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
13 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2013 → 2026
2013-02 Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
818 Forsyth St
MacOn, GA 312012139
📞 4786337010 fax 4786337585
Mailing address
Po Box 28170
MacOn, GA 312218170
Authorized official
Derrick Lane
Owner
📞 4783351365
Individual providers at this organization
1 individual provider on file at this primary practice address.
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
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.