Individual provider Active NPI

Nicholas J Manzari, MD

  • Emergency Medicine Physician
  • Enterprise, AL
National Provider Identifier
1003856428
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00013879 Issued in AL
Practice address
400 N Edwards St
Enterprise, AL 36330-2510
Phone
(334) 393-8701
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00013879 AL Primary

Addresses

Primary practice location

400 N Edwards St
Enterprise, AL 36330-2510

Mailing address

14050 NW 14TH St
Suite 190
Sunrise, FL 33323-2865
Phone (800) 424-3672

Other identifiers 1

IdentifierTypeStateIssuer
009980545MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL, TN, NY, SC, WV, NC7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20040122000183 GA Practitioner - Emergency MedicinePractitioner - Internal Medicine 2466354378 Reassigns benefits to 2 organizations
I20040322001119 AL Practitioner - Emergency Medicine 2466354378 Reassigns benefits to 5 organizations
I20080620000264 TN Practitioner - Emergency Medicine 2466354378 Reassigns benefits to 3 organizations
I20090209000607 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 2466354378 Reassigns benefits to 1 organization
I20140711002167 SC Practitioner - Emergency Medicine 2466354378 Reassigns benefits to 1 organization
I20160622000985 WV Practitioner - Emergency Medicine 2466354378 Reassigns benefits to 1 organization
I20250212001492 NC Practitioner - Emergency Medicine 2466354378 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00013879ALMDEmergency Medicine Physician
34696TNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Southern Alabama Physicians LLP Emergency Medicine Current Accepting new patients
Murphy Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jun 14, 2021 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Emergency Care Services of New York, P.C. Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Brunswick Physician Partners, PLLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Mobile Emergency Physicians, LLC Emergency Medicine CurrentSince Oct 15, 2016 Accepting new patients
Piedmont Triad Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Southern Alabama Physicians,LLP Emergency Medicine CurrentSince Dec 7, 2012 Accepting new patients
Varicosity LLC CurrentSince Aug 1, 2021 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Nov 5, 2012 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Nov 7, 2024 Accepting new patients
Kernersville Emergency Group, PLLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Tanglewood Park Physicians, PLLC Emergency Medicine CurrentSince Dec 1, 2025 Accepting new patients
Emergency Services of Montgomery PC Emergency Medicine CurrentSince Mar 1, 2015 Accepting new patients
Greenbrier Emergency Services, Inc. Emergency Medicine CurrentSince Apr 2, 2016 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Carraway Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Willstown Emergency Physicians Emergency Medicine Past Accepting new patients
Jackson Montgomery Emergency Physcians, LLC Emergency Medicine Past Accepting new patients
Darling Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Emergency Medical Associates Past Accepting new patients
Emergency Medical Associates Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients

Locations (25 of 36)

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

1935 E Glenn Ave
Ste 102
Auburn, AL 36830
Phone (334) 321-4989

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

1515 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200

400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

2704 20th St S
#100
Homewood, AL 35209
Phone 2053831723225

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

1950 Berryhill Rd
Montgomery, AL 36117
Phone 2055921800209

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

100 Wheatley Dr
Americus, GA 31709
Phone (229) 924-6011

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1200 Memorial Dr
Dalton, GA 30720
Phone (706) 272-6115

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

75 Remit Dr
Chicago, IL 60675

960 Avent Dr
Grenada, MS 38901
Phone (662) 227-7000

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680

1750 Kernersville Medical Pkwy
Kernersville, NC 27284
Phone (336) 564-4000

Interoperability endpoints

  • Direct secure messaging: nicholas.manzari@direct.baptistfirst.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: nicholas.manzari.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 30

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 30

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Putnam Emergency Physicians PLLC 34 clinicians
Paragon Contracting Services LLC 404 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Blvd
Cookeville, TN 38501-4294
Phone (931) 528-2541

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 288-2100

Hospital & facility affiliations

  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1003856428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 NW 14TH ST",
            "address_2": "SUITE 190",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232865",
            "telephone_number": "800-424-3672",
            "fax_number": "954-377-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N EDWARDS ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302510",
            "telephone_number": "334-393-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZARI",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00013879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009980545",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, AL

Sources for this page

Verify at the official NPI Registry.