DR. GARY LIONELL MANGUM SR. (NPI# 1316274244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316274244 |
| Entity Type | Individual |
| Full Name | DR. GARY LIONELL MANGUM SR. |
| Credential | MD |
| Practice Address |
1511 N Lafayette St Shelby NC 28150-2881 |
| Practice Telephone | 7044825875 |
| Mailing Telephone | 7044825875 |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 15526 | NC | Other Service Providers |
| Street Address |
1511 N LAFAYETTE ST |
| City | SHELBY |
| State | NC |
| Zip Code | 28150-2881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609275247 | Lisa Conner Terry | Specialist | 1506 E Dixon Blvd, Suite 2, Shelby, NC 28152-6848 | 2014-08-20 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1770546293 | Shelby Bone and Joint Clinic, P.a. | Specialist | 807 Schenck St Ste 2, Shelby, NC 28150-5123 | 2006-04-07 |
| 1518957331 | Virgilio Millado Tongson | Specialist | 31 E Main St, Ste 4, Shelby, OH 44875-1262 | 2005-10-24 |
| 1760474456 | Andrew Blaine Oliver Jr. | Specialist | 315 E Grover St, Shelby, NC 28150-3919 | 2005-08-18 |
| 1114386695 | Candice Dyer | Specialist | 809 N Lafayette St, Suite A, Shelby, NC 28150-3978 | 2016-02-12 |
| 1346471976 | Ent Carolina Pa | Specialist | 1180 Wyke Rd, Shelby, NC 28150-4259 | 2009-07-30 |
| 1417012485 | Klein Neurology and Sleep, P.a. | Specialist | 222 N Lafayette St, Suite 23, Shelby, NC 28150-4444 | 2006-12-27 |
| 1750474573 | Jeffrey S. Acree | Specialist | 201 E Grover St, Shelby, NC 28150-3917 | 2006-10-02 |
| 1114970548 | Joseph P Mullen IIi | Specialist | 201 E Grover St, Shelby, NC 28150-3917 | 2006-05-18 |
| Find all providers in SHELBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.