SHANE C MANGRUM M.D.
NPI 1891796595
Rehabilitation Practitioner in Atlanta,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 3, 2005

Contact Information

1150 Hammond Dr
Atlanta,
Post Code: 30328
Phone: (404) 256-2633
Fax: (404) 255-6532

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Shane C Mangrum M.d. in Atlanta - Rehabilitation Practitioner

Shane C Mangrum M.d. is a Rehabilitation Practitioner in Atlanta, . Shane C Mangrum M.d. practices all healthcare services and medical treatments related to Rehabilitation Practitioner. The NPI Number for Shane C Mangrum M.d. is 1891796595. The last update date is 2015-04-14.

Shane C Mangrum M.d.'s current location address is 1150 Hammond Dr, Atlanta, . You can contact this provider via phone number (404) 256-2633 and fax number (404) 255-6532. The mailing address for Shane C Mangrum M.d. is 1150 Hammond Dr, Atlanta, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1891796595
Provider Name
SHANE C MANGRUM M.D.
Gender
Male
Entity Type
Individual
Location Address
1150 Hammond Dr, Atlanta,
Location Phone
(404) 256-2633
Location Fax
(404) 255-6532
Mailing Address
1150 Hammond Dr, Atlanta, Georgia(GA)
Mailing Phone
404-256-2633
Mailing Fax
404-255-6532
Enumeration Date
2005-08-03
Last Update Date
2015-04-14
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation, Pain Medicine

Taxonomy Code
2081P2900X
Type
-
License No.
73026
License State
Georgia (GA)
Taxonomy Description
-

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1 225400000X Rehabilitation Practitioner

Rehabilitation Practitioner

M9189 (Idaho)

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
807178100 MEDICAID (05) Idaho (ID)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1891796595
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2818114912518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2818114912518
2 + 8 + 1 + 8 + 1 + 1 + 4 + 9 + 1 + 2 + 5 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 5 5

The NPI number 1891796595 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1295738227 JOHN DAY
Individual
Orthopaedic Surgery 300 TOWER RD NE
MARIETTA, Georgia (GA)
770-427-5717
1295738243 MEDFUND LLC
HORIZON COLUMBUS LLC
Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 240 N WASHINGTON BLVD
SARASOTA, Florida (FL)
941-925-3490
1285637231 CARLOS E LOPEZ
Individual
Internal Medicine, Infectious Disease 275 COLLIER RD NW
ATLANTA, Georgia (GA)
404-355-3161
1063415016 D HODARI BROOKS
Individual
Orthopaedic Surgery 1700 HOSPITAL SOUTH DR STE 502
AUSTELL, Georgia (GA)
943-202-7070
1588667521 ORRIN SCOTT SWAYZE
Individual
Orthopaedic Surgery 300 TOWER RD NE
MARIETTA, Georgia (GA)
770-427-5717