Active NPI
Mandy Sangani, APRN
- Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5017391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mansng7@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112168 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kamran Goudarzi Surgical Practice PC | Current | Accepting new patients | |
| Neurology & Headache Clinic PLLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | 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
- https://fhir4.healow.com/fhir/r4/CEFFAA
- 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.
-
- Surgery Physician
- Wilmington, NC
- NPI 1013494400
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Neurology Physician
- Charleston, WV
- NPI 1336185164
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Neurology Physician
- Wilmington, NC
- NPI 1316523822
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.