MICHAEL MANGONON D.O. – NPI #1609013036
Surgery

A surgeon with expertise in the investigation, preservation and restoration by medical, surgical and rehabilitative means, of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Health Care Provider Taxonomy Code for Surgery

MICHAEL MANGONON is a surgeon located in NORCROSS, GA. NPPES has assigned the NPI number 1609013036 to MICHAEL MANGONON on January 07, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0105X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgery of the Hand

The NPI profile was last updated on Nov 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL MANGONON below.

NPI Profile for
MICHAEL MANGONON

NPI Number
1609013036
Enumeration Date

(more than 17 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL MANGONON
Credentials
D.O.
Primary location
4775 JIMMY CARTER BLVD STE 201
NORCROSS, GA 30093-3760
Phone: (470) 305-0848 Fax: (470) 305-1110
Mailing address
3245 PEACHTREE PKWY STE D
#246
SUWANEE, GA 30024-6008
Phone: (470) 305-0848 Fax: (470) 305-1110
Sole Proprietor
Yes
Updated
Certification Date
Nov 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0105X
- Surgery / Surgery of the Hand (Primary)		 GA 72644

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider may accept Medicare Assignment. The Medicare-approved amount is the total the doctor or supplier can be paid. When a doctor accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsurance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL MANGONON is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSIDE HOSPITAL GWINNETT
      1000 MEDICAL CENTER BOULEVARD
      LAWRENCEVILLE, GA 30046

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.