| Mrs Shelby Lane Elder, PMHNP | |
|
505 S Church St Bldg 4, Hahira, GA 31632-1413 | |
| (229) 232-2602 | |
| (912) 999-3208 |
| Full Name | Mrs Shelby Lane Elder |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 505 S Church St Bldg 4, Hahira, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205333424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN239452 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| South Georgia Medical Center | Valdosta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Georgia Medical Center Inc | 1052764677 | 55 |
| Psychiatric Consulting Services Of South Ga Llc | 7618103300 | 5 |
| Entity Name | Hospital Authority Of Valdosta And Lowndes County Georgia |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033160791 PECOS PAC ID: 1355334509 Enrollment ID: O20040405001313 |
| Entity Name | Georgia Pines Community Service Board |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366506958 PECOS PAC ID: 5799772844 Enrollment ID: O20040429000631 |
| Entity Name | Psychiatric Consulting Services Of South Ga Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083042105 PECOS PAC ID: 7618103300 Enrollment ID: O20131203000609 |
| Entity Name | South Georgia Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144096553 PECOS PAC ID: 1052764677 Enrollment ID: O20240514000755 |
| Entity Name | Renewed Mind Partial Hospitalization Program |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295572113 PECOS PAC ID: 7416489141 Enrollment ID: O20241018000800 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shelby Lane Elder, PMHNP 7381 Beaver Glen Cir, Hahira, GA 31632-2273 Ph: (229) 232-2602 | Mrs Shelby Lane Elder, PMHNP 505 S Church St Bldg 4, Hahira, GA 31632-1413 Ph: (229) 232-2602 |
Ashley Greene, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4732 San Saba Dr, Hahira, GA 31632 Phone: 229-300-6913 | |
Mrs. Jodi Evans Lott, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 505 S Church St Ste C, Hahira, GA 31632 Phone: 229-658-6610 Fax: 912-999-3208 | |
Robin Stinson, NURSE PRACTITIIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5357 Shiloh Rd, Hahira, GA 31632 Phone: 229-740-7639 Fax: 888-463-8873 | |
Pamela Michelle Nisen, ADVANCED PRACTICE NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4948 Hatfield Cir, Hahira, GA 31632 Phone: 229-563-0800 | |
Melanie Lindsey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 209 E Main St, Hahira, GA 31632 Phone: 229-794-1794 Fax: 229-794-9794 | |
Sandra Pittman Simmons, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5665 Barber Cir, Hahira, GA 31632 Phone: 229-292-0130 |