DAMETRA MANGUM FNP
NPI 1740904846
Nurse Practitioner - Family in Flowood, MS
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 St Francis Medical Center, and is a graduate of Other (2022).
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 (PECOS)
Dametra Mangum Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
9Medicare enrollment records show Dametra Mangum reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Yazoo City, MS 39194
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Kosciusko, MS 39090
- Reassigned Medicare billing, Mississippi enrollment
- 46 clinicians in this Medicare group
Hattiesburg, MS 39401
- Reassigned Medicare billing, Mississippi enrollment
- 110 clinicians in this Medicare group
Monroe, LA 71201
- Reassigned Medicare billing, Louisiana enrollment
- 67 clinicians in this Medicare group
Tupelo, MS 38801
- Reassigned Medicare billing, Mississippi enrollment
- 108 clinicians in this Medicare group
Ripley, MS 38663
- Reassigned Medicare billing, Mississippi enrollment
- 463 clinicians in this Medicare group
New Iberia, LA 70560
- Reassigned Medicare billing, Louisiana enrollment
- 83 clinicians in this Medicare group
Hoover, AL 35216
- Reassigned Medicare billing, Mississippi enrollment
- 207 clinicians in this Medicare group
Augusta, GA 30901
- Reassigned Medicare billing, Georgia enrollment
- 159 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Medical Center
Acute Care Hospitals · Monroe, LAForrest General Hospital
Acute Care Hospitals · Hattiesburg, MSSimpson General Hospital Cah
Critical Access Hospitals · Mendenhall, MSPhysician 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.
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.
Which organizations bill Medicare for Dametra Mangum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dametra Mangum reassigns Medicare benefits to 9 organizations: Yazoo Emergency Group, LLC (Yazoo City, MS), Attala Emergency Group LLC (Kosciusko, MS), Relias Emergency Medicine Specialists Of Hattiesburg LLC (Hattiesburg, MS), Monroe Emergency Physicians LLC (Monroe, LA), Relias Emergency Medicine Specialists Of Tupelo LLC (Tupelo, MS) and 4 more organizations, listed in the Medicare section above. 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 Dametra Mangum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dametra Mangum accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers 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 St Francis Medical Center, 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 2 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.
# Dametra Mangum, FNP · NPI 1740904846
Family physician in Flowood, Mississippi. Individual provider, active in the CMS NPPES registry since October 3, 2022.
## Identity
- **NPI:** 1740904846 (Entity type: Individual)
- **Enumerated:** October 3, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 905487 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 232 MARKET ST STE 259, Flowood, MS 39232-3339
- **Phone:** (601) 310-9784
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Yazoo Emergency Group, LLC (NPI 1447806914, Yazoo City, MS); Attala Emergency Group LLC (NPI 1407103294, Kosciusko, MS); Relias Emergency Medicine Specialists Of Hattiesburg LLC (NPI 1609409440, Hattiesburg, MS); Monroe Emergency Physicians LLC (NPI 1386235331, Monroe, LA); Relias Emergency Medicine Specialists Of Tupelo LLC (NPI 1841664661, Tupelo, MS); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** November 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1740904846) · Data from the CMS NPPES public registry.