Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shane C Mangrum, MD

Individual provider Rehabilitation Practitioner · NPI 1891796595

Shane C Mangrum, MD is a Rehabilitation Practitioner in Atlanta, Georgia. Licensed in Georgia and Idaho. Registered with an NPI since 2005.

Licensed in
GA, ID
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1150 Hammond Dr Ste 400
Atlanta, GA 30328-5334
Phone: (404) 256-2633
Fax: (404) 255-6532
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 73026 (GA)
Rehabilitation Practitioner Taxonomy 225400000X · Licence M9189 (ID)

Record details

NPI number1891796595
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2005
Last updated in NPPESFebruary 12, 2026

Other providers in Atlanta