Leocadie Tchekangoua Mougang, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

24671 Issued in SC

Practice address

3310 Magnolia St
Orangeburg, SC 29115-1466

Phone

(803) 531-6900

Fax

(803) 531-6907

NPI assigned

Jan 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Centers, Inc.Group PAC ID 2860305075, 25 clinicians

Fetter Health Care Network IncGroup PAC ID 9032215199, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fetter Health Care Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charleston, SC
  • NPI 1003827304

  SC

  Medicare reassignment Care Compare group NPD
• Fetter Health Care Network, Inc

  • Federally Qualified Health Center (FQHC)
  • Summerville, SC
  • NPI 1174378707
  Care Compare group NPD
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint George, SC
  • NPI 1437353794
  Care Compare group NPD (past)
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Saint Matthews, SC
  • NPI 1528262888
  Care Compare group NPD (past)
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Neeses, SC
  • NPI 1669676201
  Care Compare group NPD (past)
• Family Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Denmark, SC
  • NPI 1700080066
  Care Compare group NPD (past)
• Family Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Vance, SC
  • NPI 1346444601
  Care Compare group
• Family Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Orangeburg, SC
  • NPI 1144248451
  Care Compare group
• Family Health Centers, Inc

  • Federally Qualified Health Center (FQHC)
  • Holly Hill, SC
  • NPI 1609279744
  Care Compare group
• Fetter Health Care Network Inc

  • Federally Qualified Health Center (FQHC)
  • Hollywood, SC
  • NPI 1386792976
  Care Compare group
• Fetter Health Care Network Inc

  • Federally Qualified Health Center (FQHC)
  • Cross, SC
  • NPI 1396859823
  Care Compare group
• Fetter Health Care Network Inc

  • Federally Qualified Health Center (FQHC)
  • Johns Island, SC
  • NPI 1851466726
  Care Compare group

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1851981104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 MAGNOLIA ST",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291151466",
            "telephone_number": "803-531-6900",
            "fax_number": "803-531-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUGANG",
        "first_name": "LEOCADIE",
        "middle_name": "TCHEKANGOUA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "219166",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morningside of Orangeburg, LLC
• Jessica Lang Morrison, RD
• Benjamin Moser
• Carolyn Mosley, MASTER OF SCIENCE
• Janet Reynolds Motley, NP
• Heather Antley Mount
• Minatullah Mousa
• Moustafa A Moustafa, M.D.
• Patrick Moyer, DO
• Narayanachar S Murali, M.D.

• All providers in Orangeburg, SC
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.