Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANE C MANGRUM, M.D.
ActivePain Medicine (PM&R) · ATLANTA, GA
Registration Details
- NPI Number
- 1891796595
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 3, 2005 (20.715195918889 yrs)
- Last Updated
- Feb 12, 2026
- Licenses
-
M9189 (ID)73026 (GA)
Practice Information
- Address
-
1150 HAMMOND DRSUITE 400ATLANTA, GA, 303285334Browse GA providers · Browse ZIP 30328
- Phone
- 4042562633
- Fax
- 4042556532
- Primary Specialty
-
Pain Medicine (PM&R)
2081P2900X
- Additional Specialty
- Pain Medicine (PM&R)
Other Pain Medicine (PM&R) Providers in ATLANTA, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JEFFREY S GROSSMAN | M.D. | 1104823145 |
| DR. MATTHEW M RICHARDSON | M.D. | 1114924073 |
| WING K. CHANG | M.D. | 1316949381 |
| RAYDEN CHANDLER CODY | M.D. | 1265457261 |
| DR. PARCHELLE D CONNALLY | M.D | 1619068947 |
| DR. ARMIN VATANI OSKOUEI | M.D. | 1326160078 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.