Individual provider Active NPI

Carlos M Manalich, M.D.

  • Internal Medicine Physician
  • Greenwood, SC
National Provider Identifier
1003871997
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17206 Issued in SC
Practice address
115 Overland Dr
Greenwood, SC 29646-4053
Phone
(864) 227-6641
Fax
(864) 229-3953
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17206 SC Primary

Addresses

Primary practice location

115 Overland Dr
Greenwood, SC 29646-4053

Mailing address

115 Overland Dr
Greenwood, SC 29646-4053
Phone (864) 227-6641

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmanalich127293@selfregional.direct-ci.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100217000775 SC Practitioner - Internal Medicine 4183768914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Florida College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Self Medical GroupGroup PAC ID 6002953916, 393 clinicians
Self Regional HealthcareGroup PAC ID 4082527742, 159 clinicians

Practice addresses (Care Compare)

102 Gregor Mendel Cir
Greenwood, SC 29646-2315
Phone (864) 229-2663

102 Katie CT
Greenwood, SC 29646-4068
Phone (864) 725-7770

1033 Edgefield St
Greenwood, SC 29646-3205
Phone (864) 227-3908

104 Wells Ave
Greenwood, SC 29646-3837

105 Vinecrest CT
Greenwood, SC 29646-8031

109 Liner Dr
Greenwood, SC 29646-2311
Phone (864) 227-6401

1123 Spring St
Greenwood, SC 29646-3833
Phone (864) 450-9036

115 Overland Dr
Greenwood, SC 29646-4053
Phone (864) 227-6641

1325 Spring St
Greenwood, SC 29646-3860
Phone (864) 725-4111

1325 Spring St
Greenwood, SC 29646-3875

138 Wells Ave
Greenwood, SC 29646-3837
Phone (864) 725-4138

1506 Spring St
Greenwood, SC 29646-4071
Phone (864) 725-7900

160 Academy Ave
Greenwood, SC 29646-3808
Phone (864) 223-8090

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

305 W Alexander Ave
A
Greenwood, SC 29646-4009
Phone (864) 725-4111

410 Epting Ave
Greenwood, SC 29646-4040
Phone (864) 725-6042

Hospital & facility affiliations

  • Home Health Services of Self Regional Healthcare Home health agency, Greenwood, SC, CCN 427018
  • Amedisys Home Health of Clinton Home health agency, Clinton, SC, CCN 427116
  • Amedisys Home Health of Lexington Home health agency, Lexington, SC, CCN 427039
  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles (8 of 11)

OrganizationSpecialtyStatusNew patients
Greenwood Internal Med Internal Medicine Current Accepting new patients
Self Medical Group CurrentSince Jun 30, 2010 Accepting new patients
Self Regional Healthcare Internal Medicine CurrentSince Oct 17, 2025 Accepting new patients
Self Medical Group Current Accepting new patients
Self Medical Group CurrentSince Jun 30, 2010 Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients
Self Regional Healthcare Past Accepting new patients

Locations

75 Remittance Dr
Dept 6875
Chicago, IL 60675

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

115 Overland Dr
Greenwood, SC 29646
Phone (864) 227-6641

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Networks

  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1003871997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 OVERLAND DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464053",
            "telephone_number": "864-227-6641",
            "fax_number": "864-229-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 OVERLAND DR",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296464053",
            "telephone_number": "864-227-6641",
            "fax_number": "864-229-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALICH",
        "first_name": "CARLOS",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "17206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmanalich127293@selfregional.direct-ci.net",
            "affiliation": "N",
            "address_1": "115 Overland Dr",
            "city": "Greenwood",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296464053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.