Individual provider Active NPI

Yarvarious Tarvett Lane, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1477077360
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN-NP196763 Issued in GA
Practice address
1200 Brookstone Centre Pkwy Ste 226
Columbus, GA 31904-2988
Phone
(706) 653-2889
Fax
(706) 494-8220
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN-NP196763 GA Primary
Registered Nurse 163W00000X RN196763 GA

Addresses

Primary practice location

1200 Brookstone Centre Pkwy Ste 226
Columbus, GA 31904-2988

Mailing address

1200 Brookstone Centre Pkwy Ste 226
Columbus, GA 31904-2988
Phone (706) 653-2889

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
I20180521002182 GA Practitioner - Nurse Practitioner 8426313578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

916 S Broad St
Thomasville, GA 31792-6113
Phone (912) 662-6501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP196763GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Feb 20, 2026 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Nov 1, 2018 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 31, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Feb 20, 2026 Accepting new patients
Joyful Minds Integrated Mental Health & Wellness Psychiatric/Mental Health Current Accepting new patients
Ramesh B Kannegenti MD PC PastSince Apr 3, 2023 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

916 S Broad St
Thomasville, GA 31792
Phone (229) 226-0125

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lifestancehealth.yarvariouslane@124220.advancedmd-direct.com

Organizations & group practices 6

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": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1477077360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 BROOKSTONE CENTRE PKWY STE 226",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042988",
            "telephone_number": "706-653-2889",
            "fax_number": "706-494-8220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKSTONE CENTRE PKWY STE 226",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319042988",
            "telephone_number": "706-653-2889",
            "fax_number": "706-494-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "YARVARIOUS",
        "middle_name": "TARVETT",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-NP196763",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN196763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.