Individual provider Active NPI

Mandy Sangani, APRN

  • Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1972259075
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5017391 Issued in NC
Practice address
1515 Doctors Cir BLDG a
Wilmington, NC 28401
Phone
(910) 662-7500
Fax
(910) 662-7501
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 112168 WV
Nurse Practitioner 363L00000X 5017391 NC Primary

Addresses

Primary practice location

1515 Doctors Cir BLDG a
Wilmington, NC 28401

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-7500

Other practice location 1

3100 MacCorkle Ave SE Ste 411
Charleston, WV 25304-1230
Phone (304) 343-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mansng7@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220414002534 WV Practitioner - Nurse Practitioner 5799171922 Reassigns benefits to 1 organization
I20230310001451 NC Practitioner - Nurse Practitioner 5799171922 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Kamran Goudarzi Surgical Practice PCGroup PAC ID 5597014993, 3 clinicians

Practice addresses (Care Compare)

509 Olde Waterford Way
Suite 103
Leland, NC 28451-4126
Phone (910) 726-3737

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
112168WVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kamran Goudarzi Surgical Practice PC CurrentSince Oct 1, 2025 Accepting new patients
Neurology & Headache Clinic PLLC CurrentSince Apr 4, 2022 Accepting new patients
NMG Health Services LLC CurrentSince Feb 13, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince Feb 13, 2023 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

509 Olde Waterford Way
Ste 103
Leland, NC 28451
Phone (910) 371-3331

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

6752 Rock Spring Rd
Ste 200
Wilmington, NC 28405
Phone (910) 762-1070

1509 Doctors Cir
Bldg C
Wilmington, NC 28401
Phone (910) 662-7550

2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720

1515 Doctors Cir
Bldg A
Wilmington, NC 28401

3100 Maccorkle Ave SE
Ste 411
Charleston, WV 25304
Phone (304) 343-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEFFAA
  • Direct secure messaging: msangani1426906@direct.novanthealth.org

Organizations & group practices 6

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 1

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": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1972259075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-7500",
            "fax_number": "910-662-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DOCTORS CIR BLDG A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28401",
            "telephone_number": "910-662-7500",
            "fax_number": "910-662-7501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 MacCorkle Ave SE Ste 411",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253041230",
            "country_code": "US",
            "telephone_number": "304-343-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGANI",
        "first_name": "MANDY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "112168",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5017391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mansng7@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3100 MacCorkle Ave SE Ste 411",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253041230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.