DERRICK LANE, MD, LLC
NPI 1750620191
Family Medicine in Macon, GA
About Derrick Lane, Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DERRICK LANE, MD, LLC (NPI 1750620191) is a healthcare organization registered as a family medicine in Macon, Georgia and active in the NPI registry since February 2013. The organization lists Derrick Lane, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derrick Lane, Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Derrick Lane, MD, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Derrick Lane, MD, LLC's NPI number?
The NPI number for Derrick Lane, MD, LLC is 1750620191. It was assigned to this organization in the NPPES registry on February 5, 2013.
Where is Derrick Lane, MD, LLC located?
Derrick Lane, MD, LLC is located at 818 Forsyth St, Macon, GA 31201. The listed phone number is (478) 633-7010.
What is Derrick Lane, MD, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derrick Lane, MD, LLC enrolled in Medicare?
Yes. Derrick Lane, MD, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Derrick Lane, MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Derrick Lane, MD, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Derrick Lane, MD, LLC was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Derrick Lane, Md, Llc · NPI 1750620191
Family Medicine organization in Macon, Georgia. Organization record, active in the CMS NPPES registry since February 5, 2013.
## Identity
- **NPI:** 1750620191 (Entity type: Organization)
- **Enumerated:** February 5, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Derrick Lane, OWNER
## Practice location
- **Address:** 818 FORSYTH ST, Macon, GA 31201-2139
- **Phone:** (478) 633-7010 · **Fax:** (478) 633-7585
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1750620191) · Data from the CMS NPPES public registry.