Active NPI
Nicholas J Manzari, MD
- Emergency Medicine Physician
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 00013879
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009980545 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, AL, TN, NY, SC, WV, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040122000183 | GA | Practitioner - Emergency 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 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
| License | State | Type | Specialty |
|---|---|---|---|
| 00013879 | AL | MD | Emergency Medicine Physician |
| 34696 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Current | Accepting new patients |
| Southern Alabama Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Murphy Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Care Services of New York, P.C. | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Brunswick Physician Partners, PLLC | Emergency Medicine | Current | Accepting new patients |
| Mobile Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Piedmont Triad Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Southern Alabama Physicians,LLP | Emergency Medicine | Current | Accepting new patients |
| Varicosity LLC | Current | Accepting new patients | |
| Putnam Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Robeson Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Group of Columbus, LLC | Emergency Medicine | Current | Accepting new patients |
| Kernersville Emergency Group, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tanglewood Park Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Montgomery PC | Emergency Medicine | Current | Accepting new patients |
| Greenbrier Emergency Services, Inc. | Emergency Medicine | Current | 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
- nicholas.manzari@direct.baptistfirst.org
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
- 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.
-
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1225071459
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Cookeville, TN
- NPI 1891475752
Emergency Medicine, TN
-
- Emergency Medicine Physician
- Prattville, AL
- NPI 1528310323
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Mobile, AL
- NPI 1881934982
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1467701490
AL, Emergency Medicine
-
- Emergency Medicine Physician
- Myrtle Beach, SC
- NPI 1861430555
Emergency Medicine, SC
-
- Emergency Medicine Physician
- Bolivia, NC
- NPI 1457822264
Emergency Medicine, NC
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1639236656
Emergency Medicine, NY
-
- Emergency Medicine Physician
- Columbus, GA
- NPI 1316458227
Emergency Medicine, GA
-
- Emergency Medicine Physician
- Gassaway, WV
- NPI 1568401461
Emergency Medicine, WV
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1104917780
Hospital
-
- General Acute Care Hospital
- Montgomery, AL
- NPI 1700977105
Hospital
-
- General Acute Care Hospital
- Cookeville, TN
- NPI 1275531956
Hospital
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 PLLCParagon Contracting Services LLC
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
- Baptist Medical Center East
- Cookeville Regional Medical Center
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.