Active NPI
Mending Minds Psychiatry, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MENDING MINDS PSYCHIATRY, LLC
- Practice address
- 215 Pendleton St Ste 213
Waycross, GA 31501-2329 - Phone
- (912) 640-1008
- Fax
- (912) 640-1009
- NPI assigned
- May 5, 2025
- Last updated
- May 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lindsey Tatum, DNP
- Title
- Owner/Provider
- Phone
- (912) 816-0382
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
215 Pendleton St Ste 213
Waycross, GA 31501-2329
Mailing address
4165 Ammons Rd
Waycross, GA 31503-7987
Phone (912) 816-0382
National Provider Directory
National Provider DirectoryLocations
215 Pendleton St
Ste 213
Waycross, GA 31501
Phone (912) 640-1008
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Health Nurse Practitioner
- Waycross, GA
- NPI 1659629772
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1043009160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4165 AMMONS RD",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315037987",
"telephone_number": "912-816-0382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 PENDLETON ST STE 213",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315012329",
"telephone_number": "912-640-1008",
"fax_number": "912-640-1009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENDING MINDS PSYCHIATRY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "TATUM",
"authorized_official_first_name": "LINDSEY",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "912-816-0382",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waycross, GA
- Medical Treatment Consultants LLC
- Lola A Medlin-Goettie, HOME HEALTH CARE
- Ches Melton, PHARMD
- Memorial Careone Home Health Services Inc (CareOne Home Health Services - Waycross Agency)
- Memorial Satilla Specialists, LLC
- Lauren Mercer, LMFT
- John F Michaels Jr., M.D.
- Marah Johnson Miles, FNP-C
- Robert L Miles, D.C.
- Tanya D Miller, FAMILY NURSE PRACTIT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.