MRS. SHELBY LANE ELDER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1205333424

MRS. SHELBY LANE ELDER (PMHNP) is a healthcare provider. based in Hahira, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. RN239452 (GA). The NPI Number for MRS. SHELBY LANE ELDER (PMHNP) is 1205333424

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHELBY LANE ELDER (PMHNP)
NPI
1205333424
Phone
(229) 232-2602
Address
7381 BEAVER GLEN CIR
Enumeration Date
13 April 2018
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292324833
Graduation Year
2018 (8 years ago)
PAC ID
4183973357
Group Practice PAC ID
7618103300
Professional Enrollment ID
I20180821002553
Address ID
GA316022577VA2109XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MRS. SHELBY LANE ELDER (PMHNP)

  • 7381 BEAVER GLEN CIR

    HAHIRA, GA 316322273

    Phone: (229) 232-2602

    Fax: (912) 999-3208

    Type: Mailing

  • 505 S CHURCH ST BLDG 4

    HAHIRA, GA 316321413

    Phone: (229) 414-8813

    Fax: (912) 999-3208

    Type: Location

  • 3120 N OAK STREET EXT STE B

    VALDOSTA, GA 316025910

    Phone: (229) 292-7261

    Type: Location

  • 4208, Shadow Garden, Nelson Hill, Hahira, Lowndes County, Georgia, 31632, United States

    HAHIRA, GA 316324407

    Phone: (229) 292-7261

    Type: Mailing

  • 2109 N PATTERSON ST STE B

    VALDOSTA, GA 316022577

    Phone: (229) 232-4833

    Fax: (877) 343-0538

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 87 Open Payments records for all available years, with a total value of $1,448.

Total Amount is formed as General ($1,448) + Research ($0) + Ownership ($0) = $1,448.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: ABBVIE INC. ($574).

Total Amount

$1,448

General + Research + Ownership

Payments

87

Total payment records

General Amount

$1,448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180821002553INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8834$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6440$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 31632)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618103300View full group profile
NameSpecialtyState
P S Y C H I A T R YGA
Nurse PractitionerGA
P S Y C H I A T R YGA

Reviews

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Frequently asked questions

What is the standard ID for MRS. SHELBY LANE ELDER (PMHNP) in the U.S.?
In the U.S., MRS. SHELBY LANE ELDER (PMHNP) is identified by NPI 1205333424.
Should I treat MRS. SHELBY LANE ELDER (PMHNP) as an active provider?
Patients and plans typically see MRS. SHELBY LANE ELDER (PMHNP) as active in the national extract.
What services align with MRS. SHELBY LANE ELDER (PMHNP)'s listing?
MRS. SHELBY LANE ELDER (PMHNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. SHELBY LANE ELDER (PMHNP)?
The directory associates MRS. SHELBY LANE ELDER (PMHNP) with Hahira, Georgia. Check all listed addresses for suites or satellite offices.
Can I export MRS. SHELBY LANE ELDER (PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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