Derrick Lane, MD, LLC
NPI 1750620191 · Family Medicine Physician · Macon, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Lane, MD, LLC is a Family Medicine Physician organization in Macon, GA (NPI 1750620191).
Provider details
- NPI number
- 1750620191
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derrick Lane, Owner(478) 335-1365
- License
- 052594 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-05
- Last updated
- 2013-02-05
Frequently asked questions
- What is Derrick Lane, MD, LLC's NPI number?
- Derrick Lane, MD, LLC's National Provider Identifier (NPI) is 1750620191, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derrick Lane, MD, LLC?
- Derrick Lane, MD, LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Derrick Lane, MD, LLC located?
- Derrick Lane, MD, LLC's practice location on file with NPPES is 818 Forsyth St, Macon, GA 31201-2139.
- What is Derrick Lane, MD, LLC's phone number?
- The practice phone number listed in the NPPES registry for Derrick Lane, MD, LLC is (478) 633-7010.
- Does Derrick Lane, MD, LLC accept Medicare?
- Derrick Lane, MD, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Derrick Lane, MD, LLC?
- The authorized official listed on Derrick Lane, MD, LLC's NPPES record is Derrick Lane, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derrick Lane, MD, LLC's NPI active?
- Yes — Derrick Lane, MD, LLC's NPI (1750620191) is active in the NPPES registry as of the last update on 2013-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.