1. Home
  2. Directory
  3. Georgia
  4. Valdosta
  5. Marriage Family Therapist
  6. NPI Profile

MALLORY SIMS TYRE LMFT
NPI 1679089320
Marriage & Family Therapist in Valdosta, GA

Active since December 18, 2017PECOS Enrolled
3120 N OAK STREET EXT STE B, VALDOSTA, GA 31602(229) 671-6170 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 9, 2026, Dec 18, 2017 (2 updates tracked since 2017).

About Mallory Sims Tyre Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY SIMS TYRE LMFT (NPI 1679089320) is an individual marriage & family therapist in Valdosta, Georgia, licensed in Georgia (MFT001575) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679089320
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMALLORY SIMS TYRECredential: LMFT
Location Address3120 N OAK STREET EXT STE BValdosta, GA 31602-5910
Mailing Address3120 N Oak Street Ext Ste BValdosta, GA 31602-5910 · (229) 671-6170
Phone(229) 671-6170
Sole ProprietorNo
Enumeration DateDecember 18, 2017
Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1679089320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in GA · MFT001575
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
3120 N OAK STREET EXT STE B, Valdosta, GA 31602
Open in Google Maps ↗

Other Names 1

Former Name (1)Mallory Marie Sims Lmft

Other Identifiers 1

OtherMFT001575GA · Licensed Marriage And Family Therapist

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Sims Tyre Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mallory Tyre reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Services Of South Georgia
Same address
Mental Health (Including Community Mental Health Center)
3120 N OAK STREET EXT STE C
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 22 clinicians in this Medicare group
NPI 1801932371 (229) 671-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN GAYLE GOIN LPC
Counselor (Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
MR. ROBERT MARLOW JR. LCSW
Social Worker (Clinical)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
MRS. TERESA MARIE MORRISON LCSW
Social Worker (Clinical)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
VELMESHA DENISE HOWARD
Social Worker
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6162
BEHAVIORAL HEALTH SERVICES OF SOUTH GEORGIA
Clinic/Center (Adolescent and Children Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6164
KIMBERLY MARIA BOYETT LMSW
Social Worker
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
KASSI LAITEN COPELAND PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170
ANDREW JEROME COURSON LPC
Counselor (Mental Health)
3120 N OAK STREET EXT STE B
VALDOSTA, GA 31602
Lowndes County (229) 671-6170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Tyre's NPI number?

The NPI number for Mallory Tyre is 1679089320. It was assigned to this individual provider in the NPPES registry on December 18, 2017. The provider is also known as Mallory Marie Sims Lmft.

Where is Mallory Tyre located?

Mallory Tyre practices at 3120 N Oak Street Ext Ste B, Valdosta, GA 31602. The listed phone number is (229) 671-6170.

What is Mallory Tyre's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mallory Tyre enrolled in Medicare?

Yes. Mallory Tyre is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mallory Tyre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Tyre reassigns Medicare benefits to Behavioral Health Services Of South Georgia (Valdosta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Tyre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mallory Tyre was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.