Mary Lane Gould-Hartline, APRN BC CEDS

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1048511 Issued in AL

Practice address

2803 Greystone Commercial Blvd Ste 12
Hoover, AL 35242-9603

Phone

(205) 968-1227

NPI assigned

May 25, 2006

Last updated

Mar 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

University of Alabama School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Amh Enterprises LLCGroup PAC ID 1153651666, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

Practice roles

Locations

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.

• Amh Enterprises LLC

  dba Aaron M. Hawkins M.D.

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1588229843
  Medicare reassignment Care Compare group NPD
• Psychiatry 280 Counseling Services Inc

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Birmingham, AL
  • NPI 1285019927
  Medicare reassignment NPD
• Psychiatry 280, P.C.

  dba PolekMD

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1528456779
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1255387213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2803 GREYSTONE COMMERCIAL BLVD STE 12",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352429603",
            "telephone_number": "205-968-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2803 GREYSTONE COMMERCIAL BLVD STE 12",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352429603",
            "telephone_number": "205-968-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULD-HARTLINE",
        "first_name": "MARY",
        "middle_name": "LANE",
        "credential": "APRN BC CEDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "1048511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herbert Gooden II, CLINICAL MASSAGE THE
• Wesley R. Goodenough, LICSW
• Asia Julia Gorg, PH.D., LPC, LMHC
• Sarah Marie Gorg
• Karen Johnson Gotshall, LPC
• Pearl Govea, M.D.
• James Nathaniel Graham, LPC
• Breah Grant, LICSW
• Jerry Allen Grant Jr., DO
• Richard Lowell Grantier III, M.D.

• Psychiatry Physician in Hoover, AL
• Providers in Hoover, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.