SHANE C MANGRUM (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1891796595

SHANE C MANGRUM (M.D.) is a healthcare provider. based in Atlanta, Georgia. specializing in Pain Medicine (Physical Medicine & Rehabilitation) Physician. They hold the professional credentials M.D.. They hold a License No. M9189 (ID). The NPI Number for SHANE C MANGRUM (M.D.) is 1891796595

Main info

Male
Name
SHANE C MANGRUM (M.D.)
NPI
1891796595
Phone
(404) 256-2633
Address
1150 HAMMOND DR
Enumeration Date
3 August 2005
Last Update Date
12 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness85
Years active:20State licenses:2Digital endpointsOther names

Provider Addresses for SHANE C MANGRUM (M.D.)

  • 1150 HAMMOND DR

    SUITE 400

    ATLANTA, GA 303285334

    Phone: (404) 256-2633

    Fax: (404) 255-6532

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Boston Scientific Corporation ($244).

Total Amount

$437

General + Research + Ownership

Payments

22

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30328)

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Reviews

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Frequently asked questions

How do payers reference SHANE C MANGRUM (M.D.)?
For SHANE C MANGRUM (M.D.), use NPI 1891796595 as the unique 10-digit identifier.
Active or inactive — what applies to SHANE C MANGRUM (M.D.)?
You should see SHANE C MANGRUM (M.D.) as active in CMS-hosted NPPES data.
What kind of doctor is SHANE C MANGRUM (M.D.)?
SHANE C MANGRUM (M.D.) is associated with Pain Medicine (Physical Medicine & Rehabilitation) Physician in the directory — Clinical services aligned with this taxonomy classification.
Is SHANE C MANGRUM (M.D.) associated with Atlanta?
Public fields place SHANE C MANGRUM (M.D.) around Atlanta, Georgia. Always confirm the exact site before visiting.
Can I trust this NPI listing for SHANE C MANGRUM (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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