Richard C Manus Jr., D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

010412 Issued in GA

Practice address

1360 Caduceus Way
Building 500 Suite 101
Watkinsville, GA 30677

Phone

(706) 548-0604

Fax

(706) 353-0884

NPI assigned

Mar 12, 2007

Last updated

May 15, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

Emory University School of Medicine, 1999

Medicare assignment

May accept Medicare assignment

Group practices

McDonald and Manus LLPGroup PAC ID 5991868937, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• McDonald and Manus LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Athens, GA
  • NPI 1215198221
  Medicare reassignment Care Compare group NPD
• James J. McDonald Jr.

  • Oral and Maxillofacial Surgery (Dentist)
  • Athens, GA
  • NPI 1427296094
  NPD (past)

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

• Piedmont Athens Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Athens, GA
  • NPI 1437186111
  Care Compare affiliation

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557878400000",
    "number": "1033241104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY",
            "address_2": "BUILDING 500 SUITE 101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-548-0604",
            "fax_number": "706-353-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 CADUCEUS WAY",
            "address_2": "BUILDING 500 SUITE 101",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "30677",
            "telephone_number": "706-548-0604",
            "fax_number": "706-353-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUS",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2019-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "010412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52472462-002",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akhila Madala, MD
• Karen R Maffei, M.D.
• Vincent Joseph Maffei, MD
• Daneille Magazin
• Chris Edward Malone, M.D.
• Eileen Marchetto
• Rhonda Martin, RBT
• Rose Mary Martin, OTR/L
• Scott A Martin, P.A.
• Taylor Kay Sanderlin Martin

• Oral and Maxillofacial Surgery (Dentist) in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2019; 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.

Verify at the official NPI Registry.