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JAKE LANE
NPI 1417506304
Anesthesiologist Assistant in Marietta, GA

Active since September 04, 2019Accepts Medicare Assignment
92.93/100
CMS Quality Rating
677 CHURCH ST NE, MARIETTA, GA 30060(770) 794-0477 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 24, 2019, Sep 4, 2019 (2 updates tracked since 2019).

About Jake Lane NPPES

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

JAKE LANE (NPI 1417506304) is an individual anesthesiologist assistant in Marietta, Georgia and active in the NPI registry since September 2019. He is affiliated with Wellstar Paulding Medical Center, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417506304
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJAKE LANE
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address531 Roselane St Nw Ste 830Marietta, GA 30060-6979 · (770) 794-0477
Phone(770) 794-0477
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2019
Last NPPES UpdateSeptember 24, 20192 updates tracked since enumeration
✔ NPI 1417506304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
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.
677 CHURCH ST NE, Marietta, GA 30060
Open in Google Maps ↗

Secondary Practice Locations 3

Location 18954 Hospital DrDouglasville, GA 30134-2272 · Phone (770) 794-0477
Location 22540 Windy Hill Rd SEMarietta, GA 30067-8605 · Phone (770) 794-0477
Location 3146 Bill Carruth PkwyHiram, GA 30141-3749 · Phone (770) 794-0477

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jake Lane is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921432543
PECOS Enrollment IDI20200107001132

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
115 services79 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
41 services35 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellstar Paulding Medical Center

Acute Care Hospitals · Hiram, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110042
Location2518 Jimmy Lee Smith ParkwayHiram, GA 30141 · Paulding County

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
JULIA PATRICIA KENDRICK
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000

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 Jake Lane's NPI number?

The NPI number for Jake Lane is 1417506304. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Jake Lane located?

Jake Lane practices at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 794-0477.

What is Jake Lane's specialty?

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

Is Jake Lane enrolled in Medicare?

Yes. Jake Lane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jake Lane accept?

Health plans from Alliant Health Plans, Inc. list Jake Lane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jake Lane affiliated with any hospitals?

According to CMS data, Jake Lane is affiliated with Wellstar Paulding Medical Center.

When was this NPI record last updated?

The NPPES record for Jake Lane was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.