SHANE C MANGRUM M.D.
NPI 1891796595
Physical Medicine & Rehabilitation - Pain Medicine in Atlanta, GA
About Shane C Mangrum M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE C MANGRUM M.D. (NPI 1891796595) is an individual pain medicine provider in Atlanta, Georgia, licensed in Georgia (73026) and active in the NPI registry since August 2005. He has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses 2
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Shane C Mangrum M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891796595, enumerated as an "individual" on August 03, 2005.
The provider is located at 1150 HAMMOND DR SUITE 400 ATLANTA, GA 30328 and the phone number is (404) 256-2633.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
