Gregory S. Mangione, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

1284 Issued in SC

Practice address

14 Richland Medical Park Dr Ste 200
Columbia, SC 29203-6882

Phone

(803) 296-7303

Fax

(803) 296-7330

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Orthopaedic Group LLC

  • Orthopaedic Surgery Physician
  • Columbia, SC
  • NPI 1255308342
  NPD (past)
• University Specialty Clinics Neurosurgery

  • Neurological Surgery Physician
  • Columbia, SC
  • NPI 1740450915
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520553600000",
    "number": "1245226133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22265",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154473",
            "telephone_number": "803-296-7320",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR STE 200",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036882",
            "telephone_number": "803-296-7303",
            "fax_number": "803-296-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "GREGORY",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2018-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "1284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0620PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecile Veronica Maner, APRN
• Faela J Maney, LMSW
• Christina Nancy Manfredini
• Mahesh M Manghani, BSC.OT; OT(C); OTR/L
• Abdul Qayoom Manghi, M.D.
• Erwin Zeta Mangubat, MD
• Myrtis Manigo
• Megan Mankins
• Manley Mental Health LLC
• Amber Manley, PMHNP

• Surgical Physician Assistant in Columbia, SC
• Providers in Columbia, SC by specialty
• Surgical Physician Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.