LAUREN LANE BANNON (PA-C) – Physician Assistant, NPI 1770727497

LAUREN LANE BANNON (PA-C) is a healthcare provider. based in Hoover, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA-652 (AL). The NPI Number for LAUREN LANE BANNON (PA-C) is 1770727497

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN LANE BANNON (PA-C)
NPI
1770727497
Phone
(205) 985-4111
Address
4517 SOUTHLAKE PKWY
Enumeration Date
24 April 2009
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059854111
Graduation Year
2008 (18 years ago)
PAC ID
5890844724
Group Practice PAC ID
2365800604
Professional Enrollment ID
I20090522000217
Address ID
AL352443280HO4517XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Provider Addresses for LAUREN LANE BANNON (PA-C)

  • 4517 SOUTHLAKE PKWY

    HOOVER, AL 352443280

    Phone: (205) 985-4111

    Type: Mailing

  • 454, Taylor Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States

    MONTGOMERY, AL 361173563

    Phone: (334) 613-9000

    Fax: (334) 286-6311

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $1,007.

Total Amount is formed as General ($1,007) + Research ($0) + Ownership ($0) = $1,007.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Providence Medical Technology, Inc. ($303).

Total Amount

$1,007

General + Research + Ownership

Payments

31

Total payment records

General Amount

$1,007

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-05-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090522000217IPhysician AssistantALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3111Injection, romosozumab-aqqg, 1 mg52,29045$0
J0897Injection, denosumab, 1 mg6,660105$0
96372Injection of drug or substance under skin or into muscle361139$0
99213Established patient office or other outpatient visit, 20-29 minutes207171$0
99214Established patient office or other outpatient visit, 30-39 minutes5049$0
View full utilization report →

Insurance plans in this area (ZIP 35244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365800604View full group profile
NameSpecialtyState
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Diagnostic RadiologyAL
Orthopedic SurgeryAL
Orthopedic SurgeryAL
Physical Therapist In Private PracticeAL
Physician AssistantAL
Hand Surgery, Orthopedic SurgeryAL
Orthopedic SurgeryAL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

Does LAUREN LANE BANNON (PA-C) have a public NPI I can cite?
Public records show LAUREN LANE BANNON (PA-C) under NPI 1770727497.
Does the public listing show LAUREN LANE BANNON (PA-C) as active?
LAUREN LANE BANNON (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret LAUREN LANE BANNON (PA-C)'s specialty?
The extract shows Physician Assistant for LAUREN LANE BANNON (PA-C). Clinical services aligned with this taxonomy classification.
What city is tied to LAUREN LANE BANNON (PA-C)?
The directory associates LAUREN LANE BANNON (PA-C) with Hoover, Alabama. Check all listed addresses for suites or satellite offices.
Why is information missing for LAUREN LANE BANNON (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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