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

Timothy Mangum Jr.

Individual provider School Psychologist · NPI 1902612468

Timothy Mangum Jr. is a School Psychologist in Sandersville, Georgia. Practices as a sole proprietor. Licensed in Georgia, North Carolina, Nevada and South Carolina and 1 more.

Licensed in
GA, NC, NV, SC, TX
In the registry since
2024
Specialties on file
5

Practice location Address checks out

215 Westlake Dr
Sandersville, GA 31082-9427
Phone: (919) 810-3283
Show map & directions

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

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 72050 (TX)
School Psychologist Taxonomy 103TS0200X · Licence 1297566 (NC)
School Psychologist Taxonomy 103TS0200X · Licence 324407 (SC)
School Psychologist Taxonomy 103TS0200X · Licence 233771 (NV)
School Psychologist Taxonomy 103TS0200X · Licence 1962506 (GA)

Record details

NPI number1902612468
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 9, 2024
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024
Mailing address215 Westlake Dr, Sandersville, GA 31082-9427