Individual provider Active NPI

Barbara Mallory Lane, NP

  • Psychiatry Physician
  • Valdosta, GA
National Provider Identifier
1003699240
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
RN203145 Issued in GA
Practice address
3541 N Crossing Cir
Valdosta, GA 31602-1019
Phone
(229) 244-4200
Fax
(229) 244-4995
NPI assigned
Aug 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X RN203145 GA Primary

Addresses

Primary practice location

3541 N Crossing Cir
Valdosta, GA 31602-1019

Mailing address

4259 Skipper Bridge Rd
Hahira, GA 31632-3889
Phone (706) 466-3784

Other practice location 1

4259 Skipper Bridge Rd
Hahira, GA 31632-3889
Phone (706) 466-3784

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911001573 GA Practitioner - Nurse Practitioner 3971967936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valdosta Psychiatric Associates, LLCGroup PAC ID 6305832650, 8 clinicians

Practice addresses (Care Compare)

3541 N Crossing Cir
Valdosta, GA 31602-1019
Phone (229) 244-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN203145GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valdosta Psychiatric Associates, LLC Psychiatry CurrentSince Aug 24, 2024 Accepting new patients
Dermatology Associates of Tallahassee, PA CurrentSince Aug 1, 2023 Accepting new patients

Locations

3541 N Crossing Cir
Valdosta, GA 31602
Phone (229) 244-4200

4233 Camelot Xing
Valdosta, GA 31602
Phone (229) 469-4383

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1003699240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 SKIPPER BRIDGE RD",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316323889",
            "telephone_number": "706-466-3784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 N CROSSING CIR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021019",
            "telephone_number": "229-244-4200",
            "fax_number": "229-244-4995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4259 Skipper Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Hahira",
            "state": "GA",
            "postal_code": "316323889",
            "country_code": "US",
            "telephone_number": "706-466-3784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "BARBARA",
        "middle_name": "MALLORY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "RN203145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.