Wendy L Vandemark (NPI# 1386698231, PAC ID# 2264491554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1386698231 |
| PAC ID by PECOS | 2264491554 |
| Professional Enrollment ID | I20060802000052 |
| Full Name | Wendy L Vandemark |
| Organization Legal Name | SGMP SOUTHLAND LLC |
| Address |
2217 Pineview Dr Valdosta GA 31602-7316 |
| Phone Number | 2296716700 |
| Gender | F |
| Credential | MD |
| Medical School | NORTHEASTERN OHIO UNIVERSITIES COLLEGE OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1153563770 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110122 | SOUTH GEORGIA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2109 N Patterson St, Valdosta, GA 31602-2990 | 2292473335 | PSYCHIATRIC CONSULTING SERVICES OF SOUTH GA LLC |
| 2217 Pineview Dr, Valdosta, GA 31602-7316 | 2296716700 | SGMP SOUTHLAND LLC |
| 2501 N Patterson St, Valdosta, GA 31602-1735 | HOSPITAL AUTHORITY OF VALDOSTA AND LOWNDES COUNTY GEORGIA | |
| 470 Fellowship Home Ln, Valdosta, GA 31602-6008 | 2293827342 | PSYCHIATRIC CONSULTING SERVICES OF SOUTH GA LLC |
| Organization Legal Name | SGMP SOUTHLAND LLC |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holly Hollis | Nurse Practitioner | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Alton Cleotha Williams Iii | Psychiatry | Sgmp Southland LLC | 1150 Cornell Ave, Savannah, GA 31406-2702 |
| Sharon Renee Mcdade | Nurse Practitioner | Sgmp Southland LLC | 201 Woodrow Wilson Dr, Valdosta, GA 31602-2538 |
| Aderemi S Dosunmu | Psychiatry | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| James O Brannen | Psychiatry | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Trina Sanders | Psychiatry | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Marci M Manna | Psychiatry | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Lori A Dixon | Nurse Practitioner | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Michael James Swaney | Psychiatry | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Tenishia K Jones | Nurse Practitioner | Sgmp Southland LLC | 2927 Demere Rd, St Simons Is, GA 31522-1620 |
| Street Address |
2217 PINEVIEW DR |
| City | VALDOSTA |
| State | GA |
| Zip | 31602-7316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aderemi S Dosunmu | Psychiatry | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| James O Brannen | Psychiatry | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Lori A Dixon | Nurse Practitioner | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Lisa M Harris | Nurse Practitioner | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Thomas J Williams | Nurse Practitioner | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Stephanie L Nelson | Nurse Practitioner | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Denise M Atkinson | Nurse Practitioner | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Cynthia M Brown | Nurse Practitioner | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Charles Alexis | Psychiatry | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Eugene Y Sun | Psychiatry | Sgmp Southland LLC | 2217 Pineview Dr, Valdosta, GA 31602-7316 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Haskin | Nurse Practitioner | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Sheri L Swader | Neurology | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Judit T Sule | Internal Medicine | Js Medical Diagnostics, LLC | 3790 Old Us Hwy 41 N, Suite B, Valdosta, GA 31602 |
| Revajo S Broadwater | Physical Therapy | 3537 N Crossing Circle, Valdosta, GA 31602-1019 | |
| Barbara F Frier | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Mary Fulp-pye | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Jennifer Kenyon | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Joel Leland Morgan | Psychiatry | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Janice L Breidenstein | Clinical Social Worker | Valdosta Psychiatric Associates, LLC | 3541 N Crossing Circle, Valdosta, GA 31602-1019 |
| Eric Christian Stiefel | Orthopedic Surgery | Valdosta Orthopedic Associates PC | 3527 N Valdosta Rd, Valdosta, GA 31602-1055 |
| Find all physicians in zip 31602 | |||
| City | VALDOSTA |
| Zip Code | 31602 |
| Specialty | PSYCHIATRY |
| City + Specialty | VALDOSTA + PSYCHIATRY |
Please comment or provide details below to improve the information on Wendy L Vandemark.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.