P Praxis·MD
● Active Type 1 · Individual

DR. Jagindra N Mangru, MD

Internal Medicine·Cumming, GA· NPI 1922028034 · Enumerated 2006 · 19 years on NPI
Mangru is 1 of 7 internal medicine providers in Cumming and 1 of 276 in Georgia.
NPI age
19 years
Enumerated 2006-07-20
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-01-23
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 276 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
2 states
Top 81% — 18% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
3970 Deputy Bill Cantrell Memorial Road, Ste 203
Cumming, GA 300403004
📞 7708875159fax 7708879496
Mailing address
3970 Deputy Bill Cantrell Mem, Ste 203
Cumming, GA 300405962
📞 7708875159fax 7708879496

Specialties

  • Internal Medicine Primary
    An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
    GA license #062253TN license #38156 taxonomy 207RR0500X

Identifiers

TypeValueNotes
05 (TN) 33396001
01 (TN) P00222697 MEDICARE RAILROAD
01 (TN) 4092108 BLUE CROSS NUMBER
01 (TN) TN0105 JOHN DEERE
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 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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