Doctor profile · Federal record
Dr. Dametra Mangum, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Flowood, MS
- NPI 1740904846
- 2 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
232 Market St Ste 259
Flowood, MS 392323339
(601) 310-9784 - Mailing address
-
1252 West Government Street, P.O. Box 2336
Brandon, MS 390428987
Credentials & registration
- NPI registered
- October 2022 — 4 yrs on file
- Profile last updated
- November 1, 2024
- Year of graduation
- 2024 — 2 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Mississippi #905487
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740904846. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $18.61 |
By nature of payment
Frequently asked questions
What is Dr. Dametra Mangum's medical specialty?
Dr. Dametra Mangum practices Family Nurse Practitioner in Flowood, MS.
Where does Dr. Dametra Mangum practice?
Dr. Dametra Mangum practices at 232 Market St Ste 259, Flowood, MS 392323339. Office phone: 6013109784.
What is Dr. Dametra Mangum's NPI?
Dr. Dametra Mangum's National Provider Identifier (NPI) is 1740904846, issued by NPPES.
Does Dr. Dametra Mangum accept Medicare assignment?
Dr. Dametra Mangum does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.