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DAMETRA MANGUM FNP
NPI 1740904846
Nurse Practitioner - Family in Flowood, MS

Active since October 03, 2022PECOS Enrolled
232 MARKET ST STE 259, FLOWOOD, MS 39232(601) 310-9784 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2023, Oct 3, 2022 (2 updates tracked since 2022).

About Dametra Mangum Fnp NPPES

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

DAMETRA MANGUM FNP (NPI 1740904846) is an individual family provider in Flowood, Mississippi, licensed in Mississippi (905487) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Forrest General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1740904846
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAMETRA MANGUMCredential: FNP
Location Address232 MARKET ST STE 259Flowood, MS 39232-3339
Mailing Address1252 West Government Street, P.o. Box 2336Brandon, MS 39042-8987
Phone(601) 310-9784
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2022
Last NPPES UpdateNovember 1, 20242 updates tracked since enumeration
NPPES CertifiedNovember 1, 2024
✔ NPI 1740904846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 905487
232 MARKET ST STE 259, Flowood, MS 39232
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dametra Mangum Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597103705
PECOS Enrollment IDI20240408001704, I20260226000094, I20260331003786
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.

Areas of Expertise CMS Part B claims 3

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
38 services19 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
23 services23 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number250078
Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County
Emergency services Birthing friendly

Simpson General Hospital Cah

Critical Access Hospitals · Mendenhall, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251317
Location1842 Simpson Highway 149Mendenhall, MS 39114 · Simpson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Dametra Mangum's NPI number?

The NPI number for Dametra Mangum is 1740904846. It was assigned to this individual provider in the NPPES registry on October 3, 2022.

Where is Dametra Mangum located?

Dametra Mangum practices at 232 Market St Ste 259, Flowood, MS 39232. The listed phone number is (601) 310-9784.

What is Dametra Mangum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dametra Mangum enrolled in Medicare?

Yes. Dametra Mangum is registered in the Medicare PECOS enrollment system.

What insurance does Dametra Mangum accept?

Health plans from Molina Healthcare list Dametra Mangum 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.

Is Dametra Mangum affiliated with any hospitals?

According to CMS data, Dametra Mangum is affiliated with Forrest General Hospital and Simpson General Hospital Cah.

When was this NPI record last updated?

The NPPES record for Dametra Mangum was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.