LINDSEY HALL MANGUM PA-C NPI 1861631764

NPI Information

NPI: 1861631764
Provider Name: LINDSEY HALL MANGUM, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: NORTH ALABAMA NEUROSERVICES LLC

PECOS Registration: Yes

Address:
2129 HELTON DR
FLORENCE, AL
ZIP 35630
Phone: (256) 980-6214
Get Directions

Lindsey Hall Mangum, PA-C is a medical physician assistant in Florence, AL with 16 years of experience. Lindsey Hall Mangum, PA-C NPI is 1861631764. 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:

2129 HELTON DR
FLORENCE, AL
ZIP 35630-069
Phone: (256) 980-6214
Fax: (256) 284-7264

The NPI 1861631764 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 enumeration date for this NPI number is 2/17/2009 and was last updated on 10/25/2021.

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
1	363AM0700X	Physician Assistant	Medical	1703	TENNESSEE	No
2	363AM0700X	Physician Assistant	Medical	1142	ALABAMA	Yes

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
1	1522323	MEDICAID	TENNESSEE
2	209151	MEDICAID	ALABAMA

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: 11/14/2023

NPI Synchronization or Removal

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