Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Yancey Lagrone

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1568296812

Jack Yancey Lagrone is a Nurse Practitioner in Athens, Georgia. Qualified in 2024, 2 years ago. Practices with Advantage Behavioral Health Systems, a 33-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

250 Bray St
Athens, GA 30601-2203
Phone: (706) 389-6789
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN289726 (GA)

Record details

NPI number1568296812
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 29, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address744 Barber St, Athens, GA 30601-2028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Advantage Behavioral Health Systems — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Athens