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Individual provider Active NPI

Chelsey Lauren Mondy, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1467159285
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN249351 Issued in GA
Practice address
2704 N Oak St BLDG J
Valdosta, GA 31602-1768
Phone
(229) 262-7333
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN249351 GA Primary

Addresses

Primary practice location

2704 N Oak St BLDG J
Valdosta, GA 31602-1768

Mailing address

2704 N Oak St BLDG J
Valdosta, GA 31602-1768
Phone (229) 262-7333

Other names 1

  • Chelsey Lauren Jaramillo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230830004035 GA Practitioner - Nurse Practitioner 3779946231 Reassigns benefits to 2 organizations
I20250718003297 CO Practitioner - Nurse Practitioner 3779946231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John D Archbold Memorial Hospital IncGroup PAC ID 4981502622, 58 clinicians

Practice addresses (Care Compare)

401 Old Albany Rd
Thomasville, GA 31792-4014
Phone (229) 228-8115

Hospital & facility affiliations

  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN249351GAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 14, 2025 Accepting new patients
Lighthouse Mental Health Psychiatric/Mental Health Current Accepting new patients
John D Archbold Memorial Hospital Inc CurrentSince Sep 1, 2023 Accepting new patients
Pathology Associates, P.C. Current Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

715 Peachtree St NE
Ste 100
Atlanta, GA 30308
Phone (202) 972-4964

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

401 Old Albany Rd
Thomasville, GA 31792
Phone (229) 228-8100

900 Cairo Rd
Thomasville, GA 31792
Phone (229) 227-5102

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

2704 N Oak St
Bldg J
Valdosta, GA 31602
Phone (229) 247-7700

100 N Patterson St
Ste 68
Valdosta, GA 31601

Organizations & group practices 11

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

Hospital & facility affiliations 2

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1467159285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG J",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021768",
            "telephone_number": "229-262-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 N OAK ST BLDG J",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021768",
            "telephone_number": "229-262-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDY",
        "first_name": "CHELSEY",
        "middle_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN249351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEY",
            "last_name": "JARAMILLO",
            "middle_name": "LAUREN",
            "credential": "PHMNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.