MENDING MINDS PSYCHIATRY, LLC – Psychiatric/Mental Health Nurse Practitioner, NPI 1043009160

MENDING MINDS PSYCHIATRY, LLC is a healthcare provider. based in Waycross, Georgia. specializing in Psychiatric/Mental Health Nurse Practitioner. The NPI Number for MENDING MINDS PSYCHIATRY, LLC is 1043009160

Main info

Organization
Name
MENDING MINDS PSYCHIATRY, LLC
NPI
1043009160
Phone
(912) 816-0382
Address
4165 AMMONS RD
Authorized Official
LINDSEY TATUM OWNER/PROVIDER DNP
Enumeration Date
5 May 2025
Last Update Date
5 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for MENDING MINDS PSYCHIATRY, LLC

  • 4165 AMMONS RD

    WAYCROSS, GA 315037987

    Phone: (912) 816-0382

    Type: Mailing

  • 215 PENDLETON ST STE 213

    WAYCROSS, GA 315012329

    Phone: (912) 640-1008

    Fax: (912) 640-1009

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31503)

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Reviews

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Frequently asked questions

What federal number belongs to MENDING MINDS PSYCHIATRY, LLC?
The federal identifier for MENDING MINDS PSYCHIATRY, LLC is NPI 1043009160.
Is MENDING MINDS PSYCHIATRY, LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MENDING MINDS PSYCHIATRY, LLC?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MENDING MINDS PSYCHIATRY, LLC. Clinical services aligned with this taxonomy classification.
Where does public data place MENDING MINDS PSYCHIATRY, LLC?
The snapshot lists Waycross, Georgia for MENDING MINDS PSYCHIATRY, LLC; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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