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

Jacob Scott Mangione

Individual provider Physician Assistant · NPI 1811819188

Jacob Scott Mangione is a Physician Assistant in Lexington, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2026
Specialties on file
2

Practice location Address checks out

220 Cherokee Pond Ct
Lexington, SC 29072-5200
Phone: (803) 609-6597
Show map & directions

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (SC)
Physician Assistant Taxonomy 363A00000X (SC)

Record details

NPI number1811819188
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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