Individual provider Active NPI

Mandy Shay Laney, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hanceville, AL
National Provider Identifier
1154729085
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1-108414 Issued in AL
Practice address
307 Main St NW
Hanceville, AL 35077-5076
Phone
(256) 352-4767
Fax
(256) 352-4797
NPI assigned
Dec 9, 2014
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1-108414 AL Primary

Addresses

Primary practice location

307 Main St NW
Hanceville, AL 35077-5076

Mailing address

307 Main St NW
Hanceville, AL 35077-5076
Phone (256) 352-4767

Other identifiers 1

IdentifierTypeStateIssuer
330000025MedicaidAL

Other names 1

  • Mandy W Laney Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20150422001194 AL Practitioner - Nurse Practitioner 6103144209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southview Medical Clinic LLCGroup PAC ID 7315188281, 5 clinicians

Practice addresses (Care Compare)

307 Main St SW
Hanceville, AL 35077-5476
Phone (256) 352-4767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-108414ALMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southview Medical Clinic LLC CurrentSince May 1, 2025 Accepting new patients
Horizon Medical Clinic LLC CurrentSince May 1, 2025 Accepting new patients

Locations

307 Main St NW
Hanceville, AL 35077
Phone (256) 352-4767

307 Main St SW
Hanceville, AL 35077
Phone (256) 352-0188

2345 2nd Ave E
Ste B
Oneonta, AL 35121
Phone (205) 625-3332

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1154729085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN ST NW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350775076",
            "telephone_number": "256-352-4767",
            "fax_number": "256-352-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST NW",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350775076",
            "telephone_number": "256-352-4767",
            "fax_number": "256-352-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANEY",
        "first_name": "MANDY",
        "middle_name": "SHAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-09",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "1-108414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330000025",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "LANEY",
            "middle_name": "W",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hanceville, AL

Sources for this page

Verify at the official NPI Registry.