MARY LANE GOULD-HARTLINE (APRN BC CEDS) – Psychiatry Physician, NPI 1255387213
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in AL
Provider Addresses for MARY LANE GOULD-HARTLINE (APRN BC CEDS)
2803 GREYSTONE COMMERCIAL BLVD STE 12
HOOVER, AL 352429603
Phone: (205) 968-1227
Type: Mailing
Century Park, Bordesley, Birmingham, West Midlands Combined Authority, West Midlands, England, B9 4SD, United Kingdom
SUITE 206
BIRMINGHAM, AL 352263949
Phone: (205) 978-7800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $316.
Total Amount is formed as General ($316) + Research ($0) + Ownership ($0) = $316.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($83).
Total Amount
$316
General + Research + Ownership
Payments
14
Total payment records
General Amount
$316
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-08-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150811003467 | I | Certified Clinical Nurse Specialist (Cns) | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 122 | 17 | $0 |
Insurance plans in this area (ZIP 35242)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | TN | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Psychiatry, Addiction Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| P S Y C H I A T R Y | AL | |
| P S Y C H I A T R Y | AL |
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