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

Timothy Mangum Jr.

Individual provider School Psychologist · NPI 1902612468

Timothy Mangum Jr. is a School Psychologist in Sandersville, Georgia. Practices as a sole proprietor. Licensed in Georgia, North Carolina, Nevada and South Carolina and 1 more.

Licensed in
GA, NC, NV, SC, TX
In the registry since
2024
Specialties on file
5

Practice location Address checks out

215 Westlake Dr
Sandersville, GA 31082-9427
Phone: (919) 810-3283
Show map & directions

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

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 72050 (TX)
School Psychologist Taxonomy 103TS0200X · Licence 1297566 (NC)
School Psychologist Taxonomy 103TS0200X · Licence 324407 (SC)
School Psychologist Taxonomy 103TS0200X · Licence 233771 (NV)
School Psychologist Taxonomy 103TS0200X · Licence 1962506 (GA)

Record details

NPI number1902612468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024