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TESSA REE MINGO
NPI 1376207969
Prosthetist in Locust Grove, GA

Active since October 28, 2021
4912 BILL GARDNER PARKWAY, LOCUST GROVE, GA 30248(662) 542-4644 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tessa Ree Mingo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TESSA REE MINGO (NPI 1376207969) is an individual prosthetist provider in Locust Grove, Georgia, licensed in Georgia (C0138190) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1376207969
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameTESSA REE MINGO
Location Address4912 BILL GARDNER PARKWAYLocust Grove, GA 30248-3025
Mailing Address2030 Towne Park DrMcdonough, GA 30252 · (662) 542-4464
Phone(662) 542-4644
Sole ProprietorYes
Enumeration DateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
✔ NPI 1376207969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in GA · C0138190
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
4912 BILL GARDNER PARKWAY, Locust Grove, GA 30248
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tessa Mingo's NPI number?

The NPI number for Tessa Mingo is 1376207969. It was assigned to this individual provider in the NPPES registry on October 28, 2021.

Where is Tessa Mingo located?

Tessa Mingo practices at 4912 Bill Gardner Parkway, Locust Grove, GA 30248. The listed phone number is (662) 542-4644.

What is Tessa Mingo's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Tessa Mingo was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.