DR. TARA LANE (M.D.) – Internal Medicine Physician, NPI 1083001036

DR. TARA LANE (M.D.) is a healthcare provider. based in Lawrenceville, Georgia. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials M.D.. They hold a License No. 83161 (GA). The NPI Number for DR. TARA LANE (M.D.) is 1083001036

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. TARA LANE (M.D.)
NPI
1083001036
Phone
Not provided
Address
665 DULUTH HWY STE 401
Enumeration Date
16 April 2015
Last Update Date
20 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
6783125527
Graduation Year
2015 (11 years ago)
PAC ID
6002119591
Group Practice PAC ID
0648504894
Professional Enrollment ID
I20190911002424
Address ID
GA300467694LA1000XBLVD400

Contacts

Secure Messaging
tara.lane.p2@direct.gmg.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

Provider Addresses for DR. TARA LANE (M.D.)

  • 665 DULUTH HWY STE 401

    LAWRENCEVILLE, GA 300464303

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2019-09-11

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
I20190911002424IInternal MedicineGATBD

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
36415Insertion of needle into vein for collection of blood sample3227$0
99214Established patient office or other outpatient visit, 30-39 minutes2924$0
99213Established patient office or other outpatient visit, 20-29 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 0648504894View full group profile

Reviews

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Frequently asked questions

Does DR. TARA LANE (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TARA LANE (M.D.) uses 1083001036.
Is DR. TARA LANE (M.D.) still practicing?
DR. TARA LANE (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. TARA LANE (M.D.)?
For research purposes, treat DR. TARA LANE (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. TARA LANE (M.D.) serve?
DR. TARA LANE (M.D.)'s listing highlights Lawrenceville, Georgia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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