Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Makala Clinch Mangram, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1952115743

Makala Clinch Mangram, PMHNP-BC is a Nurse Practitioner in Brunswick, Georgia. Qualified in 2024, 2 years ago. Practices with Gateway Community Service Board, a 41-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
2
Licensed in
GA
In the registry since
2025
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

700 Coastal Village Dr
Brunswick, GA 31520-1974
Phone: (912) 230-3047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN300259 (GA)

Record details

NPI number1952115743
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESFebruary 3, 2025
Certification dateFebruary 3, 2025

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 Gateway Community Service Board — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Brunswick