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DR. JUDY TRANG-MANGONON MD
NPI 1861252066
Student in an Organized Health Care Education/Training Program in Lawrenceville, GA

Active since March 22, 2024PECOS Enrolled
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046(678) 312-4072 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Judy Trang-mangonon Md NPPES

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

DR. JUDY TRANG-MANGONON MD (NPI 1861252066) is an individual student in an organized health care education/training program in Lawrenceville, Georgia and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861252066
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. JUDY TRANG-MANGONONCredential: MD
Location Address1000 MEDICAL CENTER BLVDLawrenceville, GA 30046-7694
Mailing Address1000 Medical Center BlvdLawrenceville, GA 30046-7694 · (678) 312-4072
Phone(678) 312-4072
Sole ProprietorYes
Enumeration DateMarch 22, 2024
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1861252066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30046
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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)

Dr. Judy Trang-mangonon Md 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.

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. ROBERT E BLACK III MD
Anesthesiology
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
HEATHER GAIL KOTULA PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 963-9905
MR. THOMAS J GLANCY PA-AA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056
MS. ANDREA PEYTON MOE PA
Physician Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-4357
MRS. KATHERINE ELAINE CAMPBELL THOMAS NP
Nurse Practitioner (Adult Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County No phone listed
SOLOMON GEZAHGN ABEBE
Nurse Practitioner (Psychiatric/Mental Health)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (229) 299-7476
CHINWE OGBODO
Nurse Practitioner (Family)
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-5280
KAPILDEV PRASAD PAAA
Anesthesiologist Assistant
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 277-3056

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 Judy Trang-mangonon's NPI number?

The NPI number for Judy Trang-mangonon is 1861252066. It was assigned to this individual provider in the NPPES registry on March 22, 2024.

Where is Judy Trang-mangonon located?

Judy Trang-mangonon practices at 1000 Medical Center Blvd, Lawrenceville, GA 30046. The listed phone number is (678) 312-4072.

What is Judy Trang-mangonon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Judy Trang-mangonon enrolled in Medicare?

Yes. Judy Trang-mangonon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Judy Trang-mangonon was last updated on March 26, 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.