Dametra Mangum, FNP
NPI 1740904846ActiveIndividual· Nurse Practitioner, Family· Flowood, MS
Nurse Practitioner, Family (FNP) with Fast Pace Mississippi PLLC and 4 other groups, practicing in Flowood, Mississippi. 35 Medicare patients in 2024, $2,054 paid; nearly all of their 83 Part D prescriptions were generic (92%). Boston Scientific Corporation reported $18.61 in payments in 2024, mostly food and beverage. Lists Fmol Health St Francis and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1740904846 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Oct 3, 2022 |
| Last updated in NPPES | Nov 1, 2024 |
| Certified by provider | Nov 1, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 905487 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (LA); Practitioner - Nurse Practitioner (MS) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 87 across 7 procedure codes |
| Paid by Medicare | $2,054 |
Part D prescriptions in 2024
| Prescriptions (claims) | 83 · 99 30-day fills |
|---|---|
| Patients | 54 |
| Total drug cost | $703.80 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Fast Pace Mississippi PLLCYazoo City, MS · 192 clinicians
- Relias Emergency Medicine Specialists of Hattiesburg LLCHattiesburg, MS · 48 clinicians
- Parish State Emergency Physicians LLCNew Iberia, LA · 27 clinicians
- Monroe Emergency Physicians LLCMonroe, LA · 16 clinicians
- Simpson Community Healthcare, Inc.Mendenhall, MS · 9 clinicians
Hospital affiliations
- Fmol Health St FrancisMonroe, LA
- Forrest General HospitalHattiesburg, MS
- Simpson General Hospital CahMendenhall, MS
Industry payments (Open Payments)
- 2024$18.61 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $18.61 | 1 |
What the 2024 payments were for
- Food and Beverage$18.61 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 146 family nurse practitioners in Flowood · All family nurse practitioners in Mississippi