DR. TAMEKI LAVETTE MONGO FNP
NPI 1770319691
Nurse Practitioner - Family in Wilmington, NC
About Dr. Tameki Lavette Mongo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TAMEKI LAVETTE MONGO FNP (NPI 1770319691) is an individual family provider in Wilmington, North Carolina, licensed in North Carolina (5020818) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
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
Dr. Tameki Lavette Mongo Fnp 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
2Medicare enrollment records show Tameki Mongo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, NC 28401
- Reassigned Medicare billing, North Carolina enrollment
- 9 clinicians in this Medicare group
Charlotte, NC 28212
- Reassigned Medicare billing, North Carolina enrollment
- 14 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, NC 28411
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 Tameki Mongo's NPI number?
The NPI number for Tameki Mongo is 1770319691. It was assigned to this individual provider in the NPPES registry on September 9, 2024.
Where is Tameki Mongo located?
Tameki Mongo practices at 6626 Gordon Rd Ste C, Wilmington, NC 28411. The listed phone number is (910) 765-1003.
What is Tameki Mongo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tameki Mongo enrolled in Medicare?
Yes. Tameki Mongo 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 Tameki Mongo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tameki Mongo reassigns Medicare benefits to 2 organizations: Triad Behavioral Resources PC (Wilmington, NC) and Southern Mobile Medical Group PA (Charlotte, NC). 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 Tameki Mongo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tameki Mongo accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tameki Mongo 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 Tameki Mongo was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.
# Dr. Tameki Lavette Mongo, FNP · NPI 1770319691
Family physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1770319691 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5020818 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 6626 GORDON RD STE C, Wilmington, NC 28411-8424
- **Phone:** (910) 765-1003 · **Fax:** (910) 765-1004
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Triad Behavioral Resources PC (NPI 1336292556, Wilmington, NC); Southern Mobile Medical Group PA (NPI 1730903675, Charlotte, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1770319691) · Data from the CMS NPPES public registry.