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

Dr. Shantae Mangaroo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902293434

Dr. Shantae Mangaroo, MD is a Family Practice in Lithonia, Georgia. Graduated from Morehouse School of Medicine in 2014, 12 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
Morehouse School of Medicine
Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8011 Mall Pkwy
Lithonia, GA 30038
Phone: (404) 518-8056
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 720 Westview Dr Sw, Atlanta, GA 30310-1458 — (404) 752-1500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 80684 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902293434
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 22, 2015
Last updated in NPPESApril 14, 2022
Certification dateApril 14, 2022
Mailing address8011 Mall Pkwy, Lithonia, GA 30038-2543

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMOREHOUSE SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lithonia