Active NPI
Wendy Liana Vandemark, MD
- Psychiatry Physician
- Gainesville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME169013
- Practice address
- 1600 SW Archer Rd
Gainesville, FL 32610-2577 - Phone
- (352) 265-7981
- NPI assigned
- May 22, 2006
- Last updated
- Sep 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME169013 | FL | MD | Psychiatry Physician |
| 57511 | GA | MD | Psychiatry Physician |
| 64010 | TN | MD | Psychiatry Physician |
| 30685 | WV | MD | Psychiatry Physician |
Practice roles
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
- wendy.vandemark.1@14566.direct.athenahealth.com
- 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.
-
dba Sterling Group Psychiatry
- Psychiatry Physician
- Moultrie, GA
- NPI 1407459027
-
dba Renewed Mind Psychiatry and Counseling
- Psychiatry Physician
- Valdosta, GA
- NPI 1083042105
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1417597170
-
dba AdventHealth Medical Group
- Multi-Specialty Clinic/Center
- Calhoun, GA
- NPI 1699791343
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
GA
-
dba Jeff Davis Hospital
- Critical Access Hospital
- Hazlehurst, GA
- NPI 1912902263
-
- Psychiatry Physician
- Valdosta, GA
- NPI 1447695085
-
dba SGMC Health
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
-
dba South Georgia Medical Center
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
-
- Internal Medicine Physician
- Chattanooga, TN
- NPI 1922053545
GA
-
- Primary Care Clinic/Center
- Valdosta, GA
- NPI 1609087469
-
dba UP Health System Pediatric Specialists
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba SGMC Health
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.