SUBY MAMMEN NP
NPI 1578041562
Nurse Practitioner - Family in Gastonia, NC
About Suby Mammen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUBY MAMMEN NP (NPI 1578041562) is an individual family provider in Gastonia, North Carolina, licensed in North Carolina (5010709) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Suby Mammen Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Suby Mammen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina enrollment
- 200 clinicians in this Medicare group
Gastonia, NC 28054
- Reassigned Medicare billing, North Carolina and South Carolina enrollments
- Also billed through NPI 1003104183 (South Carolina)
- 2,057 clinicians in this Medicare group
Charlotte, NC 28226
- Reassigned Medicare billing, North Carolina enrollment
- 157 clinicians in this Medicare group
Davie, FL 33330
- Reassigned Medicare billing, Florida enrollment
- 53 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28054 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Suby Mammen's NPI number?
The NPI number for Suby Mammen is 1578041562. It was assigned to this individual provider in the NPPES registry on August 1, 2018.
Where is Suby Mammen located?
Suby Mammen practices at 2525 Court Dr, Gastonia, NC 28054. The listed phone number is (704) 834-2000.
What is Suby Mammen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Suby Mammen enrolled in Medicare?
Yes. Suby Mammen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Suby Mammen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suby Mammen reassigns Medicare benefits to 4 organizations: Gastonia Physician Services, PLLC (Gastonia, NC), Carolinas Physicians Network Inc (Gastonia, NC), Arboretum Urgent Care Center (Charlotte, NC) and Carbon Health Medical Group Of Florida PA (Davie, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Suby Mammen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suby Mammen accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Suby Mammen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Suby Mammen was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Suby Mammen, NP · NPI 1578041562
Family physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since August 1, 2018.
## Identity
- **NPI:** 1578041562 (Entity type: Individual)
- **Enumerated:** August 1, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5010709 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 COURT DR, Gastonia, NC 28054-2140
- **Phone:** (704) 834-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Gastonia Physician Services, PLLC (NPI 1316367691, Gastonia, NC); Carolinas Physicians Network Inc (NPI 1801188941, Gastonia, NC); Arboretum Urgent Care Center (NPI 1457380313, Charlotte, NC); Carbon Health Medical Group Of Florida PA (NPI 1942812763, Davie, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** August 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1578041562) · Data from the CMS NPPES public registry.