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

Dr. Tameki Lavette Mongo, FNP

Individual provider Family Nurse Practitioner · NPI 1770319691

Dr. Tameki Lavette Mongo, FNP is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2024, 2 years ago. Practices with Southern Mobile Medical Group PA, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

12 N 5th Ave
Wilmington, NC 28401-4537
Phone: (910) 765-1003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5020818 (NC)

Record details

NPI number1770319691
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southern Mobile Medical Group Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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