Joiner and Lane Migraine Aesthetic Wellness Spa LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

JOINER AND LANE MIGRAINE AESTHETIC WELLNESS SPA LLC

Practice address

304 Janet St Ste B
Valdosta, GA 31602-2643

Phone

(469) 915-4211

NPI assigned

Sep 5, 2025

Last updated

Sep 5, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Al Berry

Title

Manager

Phone

(469) 915-4211

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandi Cecile Joiner Lane, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Nashville, GA
  • NPI 1043729247
  Medicare reassignment NPD
• Larrice Tela Gorley

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1417458498
  NPD (past)

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1205716529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 JANET ST STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022643",
            "telephone_number": "469-915-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 JANET ST STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022643",
            "telephone_number": "469-915-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINER AND LANE MIGRAINE AESTHETIC WELLNESS SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-915-4211"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.google.com",
            "affiliation": "N",
            "address_1": "304 Janet St Ste B",
            "city": "Valdosta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "316022643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia D Johnson, PP
• Rosalyn A Johnson, LMFT
• Teresa W Johnson, CNM
• Tondra Lynette Johnson
• Tykeshia Johnson, PARAPROFESSIONAL
• Stacey Lynne Joiner, RN
• Jenny Jolly, LMFT
• D'Layna Jameka Jonas
• Adayna Michelle Jones, PTA
• Alona Jones

• Psychiatric/Mental Health Nurse Practitioner in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.