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

Tessa Ree Mingo

Individual provider Prosthetist · NPI 1376207969

Tessa Ree Mingo is a Prosthetist in Locust Grove, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

4912 Bill Gardner Pkwy
Locust Grove, GA 30248-3025
Phone: (662) 542-4644
Show map & directions

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

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence C0138190 (GA)

Record details

NPI number1376207969
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021