Mantilla Surgical Colorectal & Pelvic Health

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

MANTILLA SURGICAL COLORECTAL & PELVIC HEALTH

Practice address

1109 Medical Center Dr Ste 3
Augusta, GA 30909-6644

Phone

(312) 927-5299

NPI assigned

Sep 8, 2026

Organization subpart

No

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

Authorized official

Name

Nathalie Mantilla, MD, MPH

Title

President/Ceo

Phone

(312) 927-5299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1013827567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 MICHAELS CRK",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094042",
            "telephone_number": "312-927-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 MEDICAL CENTER DR STE 3",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096644",
            "telephone_number": "312-927-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTILLA SURGICAL COLORECTAL & PELVIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "MANTILLA",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "312-927-5299",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meenakumari Manoharan
• Sujitha Manoj, CRNA
• Joshua Mansour, M.D.
• Asifhusen Abdulrahim Mansuri, M.D.
• Nathalie Mantilla Farfan, M.D
• Linette Kay Manuel, APRN, PMHNP-BC
• Many Waters Counseling
• Manvitha Manyam
• Marc Manzo, MD
• Shirley Meas Mao, M.D.

• Colon & Rectal Surgery Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Colon & Rectal Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.