Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randy E. Lane, PA

Individual provider Physician Assistant · NPI 1578965208

Randy E. Lane, PA is a Physician Assistant in Albany, Georgia. Qualified in 2014, 12 years ago. Practices with Southern Interventional Pain Center LLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2311 Lake Park Dr
Albany, GA 31707-3183
Phone: (229) 435-0525
Fax: (229) 434-9827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1578965208
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 25, 2014
Last updated in NPPESJanuary 19, 2017
Mailing addressPo Box 71367, Albany, GA 31708-1367

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern Interventional Pain Center Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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