Individual provider Active NPI

Brianna O'Neil Mangum, PA

  • Physician Assistant
  • Salisbury, NC
National Provider Identifier
1598079527
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02348 Issued in NC
Practice address
810 Mitchell Ave
Salisbury, NC 28144-6253
Phone
(704) 216-5633
Fax
(704) 639-0785
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02348 NC Primary

Addresses

Primary practice location

810 Mitchell Ave
Salisbury, NC 28144-6253

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

105 Yadkin St
Ste 101
Albemarle, NC 28001-3449
Phone (980) 323-5425

Other practice location 2

2301 US Highway 74 W
Ste 1500
Wadesboro, NC 28170-7554
Phone (704) 994-4900

Other practice location 3

123 Professional Park Dr
Locust, NC 28097-7712
Phone (704) 403-6760

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bmangum136604@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004000629 NC Practitioner - Physician Assistant 3173715554 Reassigns benefits to 2 organizations
Practice locations: Charlotte, NC

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

105 Yadkin St
Suite 101
Albemarle, NC 28001-3450
Phone (980) 323-5425

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

Hospital & facility affiliations

  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Jan 16, 2026 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 23, 2017 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 16, 2026 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jul 23, 2017 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

105 Yadkin St
Ste 101
Albemarle, NC 28001
Phone (704) 474-3171

4741 Randolph Rd
#100
Charlotte, NC 28211
Phone (704) 365-6730

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

123 Professional Park Dr
Locust, NC 28097
Phone (704) 403-6760

810 Mitchell Ave
Salisbury, NC 28144
Phone (704) 216-2633

2301 US Highway 74 W
Ste 1500
Wadesboro, NC 28170
Phone (704) 994-4900

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • Direct secure messaging: bmangum136604@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1598079527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MITCHELL AVE",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446253",
            "telephone_number": "704-216-5633",
            "fax_number": "704-639-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Yadkin St",
            "address_2": "Ste 101",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280013449",
            "country_code": "US",
            "telephone_number": "980-323-5425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 US Highway 74 W",
            "address_2": "Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Wadesboro",
            "state": "NC",
            "postal_code": "281707554",
            "country_code": "US",
            "telephone_number": "704-994-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Locust",
            "state": "NC",
            "postal_code": "280977712",
            "country_code": "US",
            "telephone_number": "704-403-6760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGUM",
        "first_name": "BRIANNA",
        "middle_name": "O'NEIL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmangum136604@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "105 Yadkin St",
            "address_2": "Ste 101",
            "city": "Albemarle",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280013449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.