P Praxis·MD
● Active Type 1 · Individual

DR. Michael Mangonon, D.O.

Surgery·Norcross, GA· NPI 1609013036 · Enumerated 2009 · 17 years on NPI
Mangonon is 1 of 2 surgery providers in Norcross and 1 of 12 in Georgia.
NPI age
17 years
Enumerated 2009-01-07
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-11-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 12 active surgery providers in Georgia.

NPI age
17 years
≈ at median (17 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-01Enumerated in NPPES
2009 2026

Where they practice

Practice location
4775 Jimmy Carter Blvd Ste 201
Norcross, GA 300933760
📞 4703050848fax 4703051110
Mailing address
3245 Peachtree Pkwy Ste D, #246
Suwanee, GA 300246008
📞 4703050848fax 4703051110

Specialties

  • Surgery Primary
    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.
    GA license #72644 taxonomy 2086S0105X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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