MICHELE MANGUM M.D. NPI 1417952169

NPI Information

  • NPI: 1417952169
  • Provider Name: MICHELE MANGUM, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 701 GROVE RD
    GREENVILLE, SC
    ZIP 29605
  • Phone: (864) 455-7000

Map and Directions

Get Directions

NPI Details

Michele Mangum, M.D. is a neurology psychiatry neurology in Greenville, SC. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Michele Mangum, M.D. NPI is 1417952169. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

701 GROVE RD
GREENVILLE, SC
ZIP 29605-210
Phone: (864) 455-7000

The enumeration date for this NPI number is 6/18/2005 and was last updated on 9/5/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology200100262NORTH CAROLINANo
22084N0400XPsychiatry & NeurologyNeurology11868SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12289256MEDICARE PINNORTH CAROLINA
2AA63338768MEDICARE PINSOUTH CAROLINA
3D01185MEDICARE UPIN
4118688MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI