Linda H Mangum (NPI# 1144352451, PAC ID# 6103084546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1144352451 |
| PAC ID by PECOS | 6103084546 |
| Professional Enrollment ID | I20120215000084 |
| Full Name | Linda H Mangum |
| Organization Legal Name | LAWRENCEVILLE PRIMARY CARE PC |
| Address |
203 Sharp St Lawrenceville VA 23868-1615 |
| Phone Number | 4348480771 |
| Gender | F |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385540715 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490098 | COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 203 Sharp St, Lawrenceville, VA 23868-1615 | 4348480771 | LAWRENCEVILLE PRIMARY CARE PC |
| Organization Legal Name | LAWRENCEVILLE PRIMARY CARE PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Ackerman | Internal Medicine | Lawrenceville Primary Care PC | 203 Sharp St, Lawrenceville, VA 23868-1615 |
| Beth A Phillips | Nurse Practitioner | Lawrenceville Primary Care PC | 203 Sharp St, Lawrenceville, VA 23868-1615 |
| Freeman Hugh Jones Jr. | Nurse Practitioner | Lawrenceville Primary Care PC | 203 Sharp St, Lawrenceville, VA 23868-1615 |
| Street Address |
203 SHARP ST |
| City | LAWRENCEVILLE |
| State | VA |
| Zip | 23868-1615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Ackerman | Internal Medicine | Lawrenceville Primary Care PC | 203 Sharp St, Lawrenceville, VA 23868-1615 |
| Beth A Phillips | Nurse Practitioner | Lawrenceville Primary Care PC | 203 Sharp St, Lawrenceville, VA 23868-1615 |
| Freeman Hugh Jones Jr. | Nurse Practitioner | Lawrenceville Primary Care PC | 203 Sharp St, Lawrenceville, VA 23868-1615 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William H Harrison Iii | Family Medicine | 319 W Church St, Lawrenceville, VA 23868-1706 | |
| Novella S Beaver | Clinical Social Worker | Southside Community Services Board | 2087 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3303 |
| Ruth D Simon | Clinical Social Worker | Southside Community Services Board | 2087 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3303 |
| Elaine M Cole | Clinical Social Worker | Southside Community Services Board | 2087 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3303 |
| Debra L Berryman | Clinical Social Worker | Southside Community Services Board | 2087 Lawrenceville Plank Rd, Lawrenceville, VA 23868-3303 |
| City | LAWRENCEVILLE |
| Zip Code | 23868 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAWRENCEVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Linda H Mangum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.