LANE DERMATOLOGIC SURGERY CENTER, LLC
NPI 1922392364
Clinic/Center - Ambulatory Surgical in Columbus, GA

NPI Status: Active since June 02, 2011

Contact Information

1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA
ZIP 31904
Phone: (706) 322-1717
Fax: (706) 322-1718

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 11D1069247
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-19-2025

About LANE DERMATOLOGIC SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Lane Dermatologic Surgery Center, Llc, a provider established in Columbus, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1922392364 assigned on June 2011. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Joshua Edward Lane M.d. (Provider/president)

NPI
1922392364
Provider Name
LANE DERMATOLOGIC SURGERY CENTER, LLC
Entity Type
Organization
Location Address
1210 BROOKSTONE CENTRE PKWY COLUMBUS, GA 31904
Location Phone
(706) 322-1717
Location Fax
(706) 322-1718
Mailing Address
1210 BROOKSTONE CENTRE PKWY COLUMBUS, GA 31904
Mailing Phone
(706) 322-1717
Mailing Fax
(706) 322-1718
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2011
Last Update Date
03-15-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JOSHUA EDWARD LANE M.D.

Authorized Official Title
PROVIDER/PRESIDENT
Authorized Official Phone
(706) 322-1717

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm

This procedure involves repairing a wound on your eyelids, nose, ears, or lip that is between 2.6 and 7.5 cm long. It's considered complicated due to the location and size. The doctor will clean, treat, and stitch the wound to promote healing.

This service was performed 66 times for 63 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

This service was performed 265 times for 231 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

This service was performed 71 times for 66 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

This service was performed 33 times for 32 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

This service was performed 26 times for 26 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

This service was performed 319 times for 285 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm

This procedure involves the repair of a moderate-sized wound (7.6-12.5 cm) on the scalp, underarms, trunk, arms, or legs. It includes cleaning, removing damaged tissue, and stitching the wound to promote healing. Local anesthesia is used for comfort.

This service was performed 34 times for 34 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

This service was performed 107 times for 100 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

This service was performed 186 times for 170 patients

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm

This procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.

This service was performed 24 times for 22 patients

Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm

This procedure involves the removal of a noncancerous skin growth on your body, arms, or legs. The growth is between 0.6-1.0 cm in size. It's typically a simple process where the growth is cut away and the area is then stitched up for healing.

This service was performed 13 times for 13 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

This service was performed 36 times for 36 patients

Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm

This is a procedure where a noncancerous skin growth, sized 2.1-3.0 cm, on the body, arms, or legs is removed. It's typically done under local anesthesia. The process involves cutting out the growth and stitching the skin back together. The aim is to eliminate discomfort and prevent potential health issues.

This service was performed 17 times for 17 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1069247
Facility Type
Physician Office
Certificate Effective Date
December 20, 2023
Certificate Expiration Date
December 19, 2025
Laboratory Director
JOSHUA E. LANE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Lane Dermatologic Surgery Center, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1922392364
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2942694312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 4 + 2 + 6 + 9 + 4 + 3 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1922392364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891824108DR. TANDA NICHOLE LANE M.D.
Individual
Dermatology (Procedural Dermatology)1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
(706) 322-1717
1083803068 MARK M SPATZ PA-C
Individual
Physician Assistant1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
(706) 322-1717
1164616025 ANNA SUMMERLIN JUSTI PA
Individual
Physician Assistant1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
(706) 550-7228
1265698559MRS. AMANDA W WATSON PA-C
Individual
Physician Assistant1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
(706) 322-1717
1811463490 MARILYN NICHOLE MOULTON ROBERTS PA-C
Individual
Physician Assistant1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
(706) 322-1717
1053430272DR. IGOR SINIAKOV MD
Individual
Dermatology (MOHS-Micrographic Surgery)1210 BROOKSTONE CENTRE PKWY
COLUMBUS, GA 31904
(706) 322-1717

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922392364, enumerated in the NPI registry as an "organization" on June 02, 2011

The provider is located at 1210 Brookstone Centre Pkwy Columbus, Ga 31904 and the phone number is (706) 322-1717

This medical organization specializes in Clinic/Center with taxonomy code 261QA1903X with a focus in Ambulatory Surgical

The most common procedures or services performed by this practitioner are: Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm, Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm, Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm, Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm, Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm, Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm, Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm, Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm, Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm, Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm, Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm, Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm and Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm.

The provider's CLIA number is 11D1069247 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on June 02, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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