1. Home
  2. Directory
  3. Georgia
  4. Brunswick
  5. Nurse Practitioner
  6. NPI Profile

MAKALA CLINCH MANGRAM PMHNP-BC
NPI 1952115743
Nurse Practitioner - Psychiatric/Mental Health in Brunswick, GA

Active since February 03, 2025PECOS EnrolledAccepts Medicare Assignment
700 COASTAL VILLAGE DR, BRUNSWICK, GA 31520(912) 230-3047 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Makala Clinch Mangram Pmhnp-bc NPPES

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

MAKALA CLINCH MANGRAM PMHNP-BC (NPI 1952115743) is an individual psychiatric/mental health provider in Brunswick, Georgia, licensed in Georgia (RN300259) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952115743
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMAKALA CLINCH MANGRAMCredential: PMHNP-BC
Location Address700 COASTAL VILLAGE DRBrunswick, GA 31520-1974
Mailing Address11014 Woodland TrlBrunswick, GA 31525-1283
Phone(912) 230-3047
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 3, 2025
✔ NPI 1952115743 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 GA · RN300259
700 COASTAL VILLAGE DR, Brunswick, GA 31520
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Makala Clinch Mangram Pmhnp-bc 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.

PECOS PAC ID6800387424
PECOS Enrollment IDI20251112000384
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.

Medicare Billing Reassignment

Medicare enrollment records show Makala Mangram reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Community Service Board
Same address
Community/Behavioral Health
700 COASTAL VILLAGE DRIVE
Brunswick, GA 31520
  • Reassigned Medicare billing, Georgia enrollment
  • 70 clinicians in this Medicare group
NPI 1558478214 (912) 554-8510

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 31520 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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.

VANESSA WALKER
Social Worker
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 554-8400
COASTAL COMMUNITY HEALTH SERVICES, INC.
Clinic/Center
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 554-8510
CHRISHONDA BROWN RN
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 765-6500
KERRY SHADDIX RN
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 554-8400
MOLLY THERESE MCCALLION LCSW
Social Worker (Clinical)
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 554-8510
CRYSTAL LYNN YODER-SHEEHAN LMSW-CC
Social Worker (Clinical)
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 554-8500
DANIEL GOSS RN
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 554-8400
MONICA ALSTON RN
Registered Nurse
700 COASTAL VILLAGE DR
BRUNSWICK, GA 31520
Glynn County (912) 554-8400

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 Makala Mangram's NPI number?

The NPI number for Makala Mangram is 1952115743. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Makala Mangram located?

Makala Mangram practices at 700 Coastal Village Dr, Brunswick, GA 31520. The listed phone number is (912) 230-3047.

What is Makala Mangram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Makala Mangram enrolled in Medicare?

Yes. Makala Mangram 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 organization bills Medicare for Makala Mangram's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Makala Mangram reassigns Medicare benefits to Gateway Community Service Board (Brunswick, GA). The 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 Makala Mangram's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Makala Mangram accept?

Health plans from Oscar Health list Makala Mangram 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 Makala Mangram was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.