DR. MICHAEL MANGONON D.O. NPI 1609013036

NPI Information

  • NPI: 1609013036
  • Provider Name: DR. MICHAEL MANGONON, D.O.
  • Classification: Surgery - 2086S0105X
  • Specialization: Surgery of the Hand
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4775 JIMMY CARTER BLVD STE 201
    NORCROSS, GA
    ZIP 30093
  • Phone: (470) 305-0848

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NPI Details

DR. Michael Mangonon, D.O. is a surgery of the hand surgery in Norcross, GA with 21 years of experience. The provider is a surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist. DR. Michael Mangonon, D.O. NPI is 1609013036. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4775 JIMMY CARTER BLVD STE 201
NORCROSS, GA
ZIP 30093-760
Phone: (470) 305-0848
Fax: (470) 305-1110

The NPI 1609013036 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Application of nonmoveable forearm to hand splint (HCPCS:29125)
  • Cast supplies, short arm splint, adult (11 years +), plaster (HCPCS:Q4021)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Upper limb (arm) arthroscopy (minimally invasive joint repair) (HCPCS:NAN17)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/7/2009 and was last updated on 11/16/2025.

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
12086S0105XSurgerySurgery of the Hand72644GEORGIAYes

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

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