Individual provider Active NPI

Melissa Jo Mang, A.P.R.N., BC

  • Family Nurse Practitioner
  • Southern Pines, NC
National Provider Identifier
1871584136
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5003513 Issued in NC
Practice address
145 Applecross Rd
Southern Pines, NC 28387
Phone
(910) 692-7928
NPI assigned
Nov 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5003513 NC Primary
Registered Nurse 163W00000X 201969 NC

Addresses

Primary practice location

145 Applecross Rd
Southern Pines, NC 28387

Mailing address

1075 Inverness Rd
Southern Pines, NC 28387-3204
Phone (917) 334-5356

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
I20080311000601 NC Practitioner - Nurse Practitioner 9537180898 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCPC-12 LLCGroup PAC ID 7416198890, 32 clinicians

Practice addresses (Care Compare)

145 Applecross Rd
Pinehurst, NC 28374-8521
Phone (910) 692-7928

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.49 of 100Reported as group
Quality
98.47
Promoting interoperability
81
Improvement activities
40
Cost
88.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 25, 2026 Accepting new patients
MCPC-12, LLC CurrentSince Jul 1, 2013 Accepting new patients
MCPC-12, LLC CurrentSince Jul 1, 2013 Accepting new patients
FHPG, LLC Past Accepting new patients
Sandhills Medical Foundation, Inc. Past Accepting new patients

Locations

5 First Village Dr
Ste 100
Pinehurst, NC 28374
Phone (910) 692-7928

313 Teal Dr
Raeford, NC 28376
Phone (910) 904-2350

110 Medical Cir
Rockingham, NC 28379
Phone (910) 410-9494

Organizations & group practices 5

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 4

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": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300147200000",
    "number": "1871584136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 INVERNESS RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283873204",
            "telephone_number": "917-334-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 APPLECROSS RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "28387",
            "telephone_number": "910-692-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANG",
        "first_name": "MELISSA",
        "middle_name": "JO",
        "credential": "A.P.R.N., BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-04",
        "last_updated": "2011-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5003513",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "201969",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

Verify at the official NPI Registry.