Individual provider Active NPI

Christopher Wesley Mangieri, M.D.

  • Surgery Physician
National Provider Identifier
1316234685
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
69352 Issued in GA
Practice address
300 E Hospital Rd., Fort Gordon, Ga 30905
Eisenhower Army Medical Center, Dept. General Surgery
Apo, AA 30905
Phone
(706) 305-7232
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 91391 SC
Surgery Physician 208600000X 69352 GA Primary

Addresses

Primary practice location

300 E Hospital Rd., Fort Gordon, Ga 30905
Eisenhower Army Medical Center, Dept. General Surgery
Apo, AA 30905

Mailing address

207 Sunbury Dr
Evans, GA 30809-7252
Phone (980) 322-6776

Other practice location 1

3647 J Dewey Gray Cir Ste 200
Augusta, GA 30909-2205
Phone (706) 504-9712

Other practice location 2

146 E Hospital Dr Ste 400
West Columbia, SC 29169-4800
Phone (803) 936-3300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmangieri173000@direct.lexmed.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC, SC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180220003150 GA Practitioner - General Surgery 2264793983 Reassigns benefits to 1 organization
I20200408003310 NC Practitioner - General Surgery 2264793983 Reassigns benefits to 2 organizations
I20240126001587 SC Practitioner - General Surgery 2264793983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wake Forest University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Unc Rockingham Health Care IncGroup PAC ID 6800157181, 10 clinicians
Augusta Surgical Group, P.C.Group PAC ID 9931488251, 11 clinicians
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians
North Carolina MG LLCGroup PAC ID 1951828847, 723 clinicians

Practice addresses (Care Compare)

117 E Kings Hwy
Eden, NC 27288-5201
Phone (336) 623-9711

1430 Harper St
Suite B
Augusta, GA 30901-0619
Phone (706) 724-5451

146 E Hospital Dr
Suite 400
West Columbia, SC 29169-4800
Phone (803) 936-3300

2800 Blue Ridge Rd
Suite 300
Raleigh, NC 27607-6476
Phone (919) 784-7874

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91391SCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Rockingham Health Care, Inc. Surgery CurrentSince Oct 20, 2022 Accepting new patients
Lexington County Health Services District Inc Current Accepting new patients
Lexington Health Inc CurrentSince Jan 2, 2024 Accepting new patients
Morehead Memorial Hospital Current Accepting new patients
Lexington Health Inc Surgery CurrentSince Jan 2, 2024 Accepting new patients
Tift Regional Health System Inc CurrentSince Dec 22, 2017 Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Augusta Surgical Group, P.C. Surgery CurrentSince Jul 1, 2023 Accepting new patients
Tift Regional Health System Inc Surgery CurrentSince Dec 22, 2017 Accepting new patients
Unc Rockingham Health Care, Inc. Current Accepting new patients
Lexington Health Inc Current Accepting new patients
Lexington County Health Services District, Inc. Past Accepting new patients

Locations

1430 Harper St
Ste B
Augusta, GA 30901
Phone (706) 724-5451

1430 Harper St
Augusta, GA 30901
Phone (706) 724-5451

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2227 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-6188

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

3016 Longtown Commons Dr
Ste 210
Columbia, SC 29229
Phone (803) 936-3300

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

146 E Hospital Dr
Ste 400
West Columbia, SC 29169
Phone (803) 936-3300

Interoperability endpoints

  • Direct secure messaging: cmangieri173000@direct.lexmed.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1316234685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SUNBURY DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308097252",
            "telephone_number": "980-322-6776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "300 E HOSPITAL RD., FORT GORDON, GA 30905",
            "address_2": "EISENHOWER ARMY MEDICAL CENTER, DEPT. GENERAL SURGERY",
            "city": "APO",
            "state": "AA",
            "postal_code": "30905",
            "telephone_number": "706-305-7232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3647 J Dewey Gray Cir Ste 200",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309092205",
            "country_code": "US",
            "telephone_number": "706-504-9712",
            "fax_number": "706-504-9703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "146 E Hospital Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694800",
            "country_code": "US",
            "telephone_number": "803-936-3300",
            "fax_number": "803-936-7735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGIERI",
        "first_name": "CHRISTOPHER",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "91391",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "69352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmangieri173000@direct.lexmed.com",
            "affiliation": "N",
            "address_1": "146 E Hospital Dr Ste 400",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291694800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.