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KELLY LANE PAA
NPI 1154376192
Anesthesiologist Assistant in Atlanta, GA

Active since May 24, 2006
5445 MERIDIAN MARK RD STE 340, ATLANTA, GA 30342(404) 785-5650(404) 785-5610 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

About Kelly Lane Paa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LANE PAA (NPI 1154376192) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (3001) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1154376192
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameKELLY LANECredential: PAA
Location Address5445 MERIDIAN MARK RD STE 340Atlanta, GA 30342-4766
Mailing Address5445 Meridian Mark Rd Ste 340Atlanta, GA 30342-4766 · (404) 785-5650 · Fax (404) 785-5610
Phone(404) 785-5650
Fax(404) 785-5610
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
✔ NPI 1154376192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 3001
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
5445 MERIDIAN MARK RD STE 340, Atlanta, GA 30342
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Lane Paa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kelly Lane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Anesthesia Services, LLC
5.0 mi
Pediatric Anesthesiology
1575 NORTHEAST EXPY NE
Brookhaven, GA 30329
  • Reassigned Medicare billing, Georgia enrollment
  • 159 clinicians in this Medicare group
NPI 1437203098 (404) 785-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANA HORAN CPNP
Nurse Practitioner (Pediatrics)
5445 MERIDIAN MARK RD STE 340
ATLANTA, GA 30342
Fulton County (404) 785-5650

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Lane's NPI number?

The NPI number for Kelly Lane is 1154376192. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Kelly Lane located?

Kelly Lane practices at 5445 Meridian Mark Rd Ste 340, Atlanta, GA 30342. The listed phone number is (404) 785-5650.

What is Kelly Lane's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Kelly Lane enrolled in Medicare?

Yes. Kelly Lane is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kelly Lane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Lane reassigns Medicare benefits to Children's Anesthesia Services, LLC (Brookhaven, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Lane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kelly Lane was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.