Individual provider Active NPI

Wendy Liana Vandemark, MD

  • Psychiatry Physician
  • Gainesville, FL
National Provider Identifier
1386698231
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME169013 Issued in FL
Practice address
1600 SW Archer Rd
Gainesville, FL 32610-2577
Phone
(352) 265-7981
NPI assigned
May 22, 2006
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 30685 WV
Psychiatry Physician 2084P0800X ME169013 FL Primary
Psychiatry Physician 2084P0800X 29113 MS
Psychiatry Physician 2084P0800X 4301075774 MI
Psychiatry Physician 2084P0800X 64010 TN
Psychiatry Physician 2084P0800X 57511 GA

Addresses

Primary practice location

1600 SW Archer Rd
Gainesville, FL 32610-2577

Mailing address

2109 N Patterson St Ste B
Valdosta, GA 31602-2577
Phone (229) 232-4833

Other practice location 1

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 891-9443

Other practice location 2

2109 N Patterson St Ste B
Valdosta, GA 31602-2577
Phone (229) 232-4833

Other names 1

  • Wendy Liana Renato Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041004000179 MI Practitioner - Psychiatry 2264491554 Reassigns benefits to 1 organization
I20060802000052 GA Practitioner - Psychiatry 2264491554 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northeastern Ohio University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SGMC Physician Network IncGroup PAC ID 4082036843, 128 clinicians
Colquitt Regional Psychiatry LLCGroup PAC ID 4981012655, 8 clinicians

Practice addresses (Care Compare)

2109 N Patterson St
Suite B
Valdosta, GA 31602-2577
Phone (229) 433-7473

3131 S Main St
Moultrie, GA 31768-6925
Phone (229) 891-9443

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME169013FLMDPsychiatry Physician
57511GAMDPsychiatry Physician
64010TNMDPsychiatry Physician
30685WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services CurrentSince Jun 21, 2024 Accepting new patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Oct 1, 2022 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Fairview Express Care CurrentSince Jun 21, 2024 Accepting new patients
Psychiatric Consulting Services of South Georgia, LLC Psychiatry CurrentSince Sep 9, 2013 Accepting new patients
SGMC Affiliated Services LLC Current Accepting new patients
South Georgia Medical Center Inc Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jun 1, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jun 1, 2024 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Colquitt Regional Psychiatry LLC Psychiatry CurrentSince Jul 1, 2024 Accepting new patients
SGMC Physician Network Inc CurrentSince Jun 1, 2025 Accepting new patients
SGMP Southland LLC Psychiatry CurrentSince Jan 2, 2018 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Aug 1, 2006 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jun 12, 2024 Accepting new patients
South Georgia Medical Center Inc CurrentSince Jun 1, 2024 Accepting new patients
Healtheast Medical Research Institute CurrentSince Jun 21, 2024 Accepting new patients
Hospital Authority of Jeff Davis County Georgia CurrentSince Oct 1, 2022 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Aug 1, 2006 Accepting new patients
Choice Family Medicine, PC Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Adventist Health System Georgia Inc CurrentSince Jun 17, 2024 Accepting new patients
Fairview Health Services CurrentSince Jun 21, 2024 Accepting new patients
Fairview Express Care CurrentSince Jun 21, 2024 Accepting new patients
Hospital Authority of Jeff Davis County Georgia Current Accepting new patients
Smith of Georgia Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Biological Psychiatry Center, P.C. Psychiatry PastSince Oct 1, 2004 Accepting new patients
Stephanie S Gee MD PC Past Accepting new patients
C.W. Enterprise LLC Psychiatry Past Accepting new patients
Biological Psychiatry Center, PC Psychiatry Past Accepting new patients
Therapy Center Valdosta, LLC Psychiatry Past Accepting new patients
Amerimed Therapy Past Accepting new patients
Behavioral Health Services of South Georgia PastSince Mar 13, 2012 Accepting new patients
C.W. Enterprise LLC Psychiatry Past Accepting new patients

Locations

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

163 S Tallahassee St
Hazlehurst, GA 31539
Phone (912) 375-7781

101 Cobblestone Trce SE
Moultrie, GA 31788
Phone (229) 891-9016

3131 Thomasville Hwy
Moultrie, GA 31768
Phone (229) 502-9769

201 Woodrow Wilson Dr
Valdosta, GA 31602
Phone (229) 241-0041

2109 N Patterson St
Ste B
Valdosta, GA 31602
Phone (229) 232-4833

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

2217 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

470 Fellowship Home Ln
Valdosta, GA 31602
Phone (229) 244-9200

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: wendy.vandemark.1@14566.direct.athenahealth.com
  • Direct secure messaging: wvandemark739558@direct.hfhs.org

Organizations & group practices 38

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 38

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1386698231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 N PATTERSON ST STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022577",
            "telephone_number": "229-232-4833",
            "fax_number": "877-343-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326102577",
            "telephone_number": "352-265-7981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 S Main St",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686925",
            "country_code": "US",
            "telephone_number": "229-891-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2109 N Patterson St Ste B",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022577",
            "country_code": "US",
            "telephone_number": "229-232-4833",
            "fax_number": "877-343-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDEMARK",
        "first_name": "WENDY",
        "middle_name": "LIANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "30685",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME169013",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "29113",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301075774",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "64010",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "57511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "RENATO",
            "middle_name": "LIANA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.