MS. TAMARA LITQUINNIE MANGUM NP
NPI 1770094179
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since October 12, 2017PECOS Enrolled

8406 SIX FORKS RD STE 104, RALEIGH, NC 27615(855) 675-4144(617) 807-0958 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 6, 2026, Feb 7, 2022, Apr 8, 2020 and 2 more (5 updates tracked since 2017).

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About Ms. Tamara Litquinnie Mangum Np NPPES

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

MS. TAMARA LITQUINNIE MANGUM NP (NPI 1770094179) is an individual psychiatric/mental health provider in Raleigh, North Carolina, licensed in North Carolina (5010004) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770094179

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMS. TAMARA LITQUINNIE MANGUMCredential: NP

Location Address8406 SIX FORKS RD STE 104Raleigh, NC 27615-3075

Mailing Address8406 Six Forks Rd Ste 104Raleigh, NC 27615-3075 · (855) 675-4144 · Fax (617) 807-0958

Phone(855) 675-4144

Fax(617) 807-0958

Sole ProprietorNo

Enumeration DateOctober 12, 2017

Last NPPES UpdateJanuary 6, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2026

✔ NPI 1770094179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NC · 5010004

8406 SIX FORKS RD STE 104, Raleigh, NC 27615

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tamara Litquinnie Mangum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27615 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.