DR. COURTNEY MANGUM MD
NPI 1700455649
Family Medicine in Daytona Beach, FL

Q: What is Courtney Mangum's NPI number?

The NPI number for Courtney Mangum is 1700455649. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Q: What is Courtney Mangum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Mangum was last updated on January 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment

201 N CLYDE MORRIS BLVD STE 200, DAYTONA BEACH, FL 32114(386) 425-4165(386) 425-7545 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 31, 2023, Jun 24, 2021 (2 updates tracked since 2021).

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About Dr. Courtney Mangum Md NPPES

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

DR. COURTNEY MANGUM MD (NPI 1700455649) is an individual family medicine provider in Daytona Beach, Florida, licensed in Florida (TRN33052) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Winston Medical Center & Swingbed, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700455649

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. COURTNEY MANGUMCredential: MD

Location Address201 N CLYDE MORRIS BLVD STE 200Daytona Beach, FL 32114-2765

Mailing Address201 N Clyde Morris Blvd Ste 200Daytona Beach, FL 32114-2765 · (386) 425-4165 · Fax (386) 425-7545

Phone(386) 425-4165

Fax(386) 425-7545

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 24, 2021

Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 31, 2023

✔ NPI 1700455649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · TRN33052

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License ME158933 (FL)

201 N CLYDE MORRIS BLVD STE 200, Daytona Beach, FL 32114

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.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

Dr. Courtney Mangum Md 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.

PECOS PAC ID7618374943

PECOS Enrollment IDI20240924004604

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Courtney Mangum reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Halifax Healthcare Systems Inc

0.6 mi

Family Medicine

303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment
786 clinicians in this Medicare group

NPI 1245283530 (386) 254-4000

Relias Clinical Decision Specialists Of Hattiesburg, LLC

516 mi

Emergency Medicine

6051 U S HIGHWAY 49
Hattiesburg, MS 39401

Reassigned Medicare billing, Mississippi enrollment
56 clinicians in this Medicare group

NPI 1336867415 (601) 288-7000

Relias Emergency Medicine Specialists Of Hattiesburg LLC

516 mi

Emergency Medicine

6051 U S HIGHWAY 49
Hattiesburg, MS 39401

Reassigned Medicare billing, Mississippi enrollment
110 clinicians in this Medicare group

NPI 1609409440 (662) 432-4106

Relias Hospitalist Medicine Specialists Of Hattiesburg LLC

516 mi

Hospitalist

6051 U S HIGHWAY 49
Hattiesburg, MS 39401

Reassigned Medicare billing, Mississippi enrollment
22 clinicians in this Medicare group

NPI 1437076304 (662) 432-4106

Mississippi Hma Hospitalists, LLC

580 mi

Hospitalist

1040 RIVER OAKS DR, SUITE 103
Flowood, MS 39232

Reassigned Medicare billing, Mississippi enrollment
87 clinicians in this Medicare group

NPI 1245578558 (601) 933-5405

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

155 services81 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

78 services47 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

69 services68 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

50 services50 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

34 services34 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Winston Medical Center & Swingbed

Acute Care Hospitals · Louisville, MS

OwnershipVoluntary non-profit - Private

CMS Certification Number250027

Location17550 East Main StreetLouisville, MS 39339 · Winston County

Emergency services

Merit Health River Region

Acute Care Hospitals · Vicksburg, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250031

Location2100 Hwy 61 NVicksburg, MS 39183 · Warren County

Emergency services Birthing friendly

Crossgates River Oaks Hospital

Acute Care Hospitals · Brandon, MS

2/5 CMS rating

OwnershipProprietary

CMS Certification Number250096

Location350 Crossgates BlvdBrandon, MS 39042 · Rankin County

Emergency services

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Merit Health River Oaks

Acute Care Hospitals · Flowood, MS

1/5 CMS rating

OwnershipProprietary

CMS Certification Number250138

Location1030 River Oaks DriveFlowood, MS 39232 · Rankin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. OLIVIA MANGAT DHALIWAL MD

Family Medicine