Individual provider Active NPI

Teresa Parham Lane, PMHNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Milton, GA
National Provider Identifier
1770638397
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
APRN-CNSPMH074324 Issued in GA
Practice address
850 Mayfield Rd Ste 203
Milton, GA 30009-3012
Phone
(470) 805-5040
Fax
(678) 268-4550
NPI assigned
Jan 24, 2007
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN074324 GA
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN-CNSPMH074324 GA Primary

Addresses

Primary practice location

850 Mayfield Rd Ste 203
Milton, GA 30009-3012

Mailing address

850 Mayfield Rd Ste 203
Milton, GA 30009-3012
Phone (470) 805-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050408000367 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 8729035282 Reassigns benefits to 2 organizations
I20090224000413 GA Practitioner - Nurse Practitioner 8729035282 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Emory University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

250 Corporate Ctr CT
Stockbridge, GA 30281-6388
Phone (770) 954-8685

850 Mayfield Rd
Suite 203
Milton, GA 30009-3008
Phone (470) 805-5040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-CNSPMH074324GAMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Sep 24, 2007 Accepting new patients
Douglas County Community Services Board CurrentSince Oct 21, 2019 Accepting new patients
Personal Recovery Network LLC CurrentSince Apr 18, 2022 Accepting new patients
Blue Ridge Psychiatric Consultants Past Accepting new patients
Simple Care Solutions LLC Past Accepting new patients
Avenia Behavioral Management, Inc Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

5905 Stewart Pkwy
Douglasville, GA 30135
Phone (470) 893-0763

850 Mayfield Rd
Ste 203
Milton, GA 30009
Phone (470) 805-5040

5095 Peachtree Pkwy
Norcross, GA 30092
Phone (770) 209-9299

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

Interoperability endpoints

  • Direct secure messaging: georgiabehavioralhealthprofessionals.teresalane@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, 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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1770638397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 MAYFIELD RD STE 203",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300093012",
            "telephone_number": "470-805-5040",
            "fax_number": "678-268-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MAYFIELD RD STE 203",
            "city": "MILTON",
            "state": "GA",
            "postal_code": "300093012",
            "telephone_number": "470-805-5040",
            "fax_number": "678-268-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "TERESA",
        "middle_name": "PARHAM",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN074324",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "GA",
            "license": "APRN-CNSPMH074324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, GA

Sources for this page

Verify at the official NPI Registry.