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

Dr. Michael Mangonon, DO

Individual provider Surgery of the Hand (Surgery) Physician · NPI 1609013036

Dr. Michael Mangonon, DO is a Hand Surgery in Norcross, Georgia. Qualified in 2005, 21 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4775 Jimmy Carter Blvd Ste 201
Norcross, GA 30093-3760
Phone: (470) 305-0848
Fax: (470) 305-1110
Show map & directions

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

Specialties & licences

Surgery of the Hand (Surgery) Physician (primary) Taxonomy 2086S0105X · Licence 72644 (GA)

Record details

NPI number1609013036
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 7, 2009
Last updated in NPPESNovember 16, 2025
Certification dateNovember 16, 2025
Mailing address3245 Peachtree Pkwy Ste D, 246, Suwanee, GA 30024-6008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHAND SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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