RENEWED MIND PSYCHIATRY AND COUNSELING
NPI 1083042105
Psychiatry & Neurology - Psychiatry in Valdosta, GA
About Renewed Mind Psychiatry And Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEWED MIND PSYCHIATRY AND COUNSELING (NPI 1083042105) is a healthcare organization registered as a psychiatry in Valdosta, Georgia and active in the NPI registry since October 2013. The organization lists Wendy Liana Vandemark, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renewed Mind Psychiatry And Counseling is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Renewed Mind Psychiatry And Counseling, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Psychiatric Consulting Services Of South Georgia, LLC's NPI number?
The NPI number for Psychiatric Consulting Services Of South Georgia, LLC is 1083042105. It was assigned to this organization in the NPPES registry on October 29, 2013. The provider is doing business as Renewed Mind Psychiatry And Counseling.
Where is Psychiatric Consulting Services Of South Georgia, LLC located?
Psychiatric Consulting Services Of South Georgia, LLC is located at 2109 N Patterson St Ste B, Valdosta, GA 31602. The listed phone number is (229) 232-4833.
What is Psychiatric Consulting Services Of South Georgia, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Psychiatric Consulting Services Of South Georgia, LLC enrolled in Medicare?
Yes. Psychiatric Consulting Services Of South Georgia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Psychiatric Consulting Services Of South Georgia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Psychiatric Consulting Services Of South Georgia, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6), Psychiatry (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Psychiatric Consulting Services Of South Georgia, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Psychiatric Consulting Services Of South Georgia, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Psychiatric Consulting Services Of South Georgia, LLC was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Renewed Mind Psychiatry And Counseling · NPI 1083042105
Psychiatry organization in Valdosta, Georgia. Organization record, active in the CMS NPPES registry since October 29, 2013.
## Identity
- **NPI:** 1083042105 (Entity type: Organization)
- **Enumerated:** October 29, 2013
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Legal business name:** Psychiatric Consulting Services Of South Georgia, Llc
- **Organization subpart:** No
- **Authorized official:** Wendy Vandemark, OWNER
## Practice location
- **Address:** 2109 N PATTERSON ST STE B, Valdosta, GA 31602-2577
- **Phone:** (229) 232-4833 · **Fax:** (877) 343-0538
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Psychiatry (2), Certified Clinical Nurse Specialist (CNS) (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 18, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1083042105) · Data from the CMS NPPES public registry.