Psychiatric Consulting Services of South Georgia, LLC
NPI 1083042105 · Psychiatry Physician · Valdosta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Psychiatric Consulting Services of South Georgia, LLC is a Psychiatry Physician organization in Valdosta, GA (NPI 1083042105).
Provider details
- NPI number
- 1083042105
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendy Vandemark, Owner(229) 232-4833
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Renewed Mind Psychiatry and Counseling
Registry dates
- Enumerated
- 2013-10-29
- Last updated
- 2024-01-18
- Certified
- 2024-01-18
Frequently asked questions
- What is Psychiatric Consulting Services of South Georgia, LLC's NPI number?
- Psychiatric Consulting Services of South Georgia, LLC's National Provider Identifier (NPI) is 1083042105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Psychiatric Consulting Services of South Georgia, LLC?
- Psychiatric Consulting Services of South Georgia, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Psychiatric Consulting Services of South Georgia, LLC located?
- Psychiatric Consulting Services of South Georgia, LLC's practice location on file with NPPES is 2109 N Patterson St Ste B, Valdosta, GA 31602-2577.
- What is Psychiatric Consulting Services of South Georgia, LLC's phone number?
- The practice phone number listed in the NPPES registry for Psychiatric Consulting Services of South Georgia, LLC is (229) 232-4833.
- Does Psychiatric Consulting Services of South Georgia, LLC accept Medicare?
- Psychiatric Consulting Services of South Georgia, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Psychiatric Consulting Services of South Georgia, LLC?
- The authorized official listed on Psychiatric Consulting Services of South Georgia, LLC's NPPES record is Wendy Vandemark, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Psychiatric Consulting Services of South Georgia, LLC's NPI active?
- Yes — Psychiatric Consulting Services of South Georgia, LLC's NPI (1083042105) is active in the NPPES registry as of the last update on 2024-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.