Active NPI
Christopher Darin Mann, MD
- Family Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37310
- Practice address
- 1717A S Utica Ave
Tulsa, OK 74104-5344 - Phone
- (918) 748-7557
- Fax
- (918) 748-7514
- NPI assigned
- Jan 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23589 | OK | |
| Family Medicine Physician | 207Q00000X | 37310 | SC | Primary |
| Emergency Medicine Physician | 207P00000X | 23589 | OK |
Addresses
Primary practice location
1717A S Utica Ave
Tulsa, OK 74104-5344
Mailing address
1515 N Harvard Ave
Ste E
Tulsa, OK 74115-4957
Phone (918) 832-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200045420A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37310 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Southeastern Hospitalist Services PC | Family Medicine | Current | Accepting new patients |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Georgetown Memorial Hospital | Current | Accepting new patients | |
| Grand Strand Regional Medical Center LLC | Past | Accepting new patients | |
| Jane Phillips Nowata Hospital Inc | Past | Accepting new patients | |
| Okmulgee Emergency PLLC | Past | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000
1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111
4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- christopher.mann@direct.stjohnhealthsystem.com
- cmann73031@selfregional.direct-ci.net
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.
-
- Hospitalist Physician
- Myrtle Beach, SC
- NPI 1003280108
Family Medicine
-
- General Acute Care Hospital
- Georgetown, SC
- NPI 1982604021
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
- Skilled Nursing Facility
- Georgetown, SC
- NPI 1881307056
-
- Hospitalist Physician
- Greenwood, SC
- NPI 1073840856
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
- General Acute Care Hospital
- Nowata, OK
- NPI 1548247489
-
- Emergency Medical Services (Emergency Medicine) Physician
- Okmulgee, OK
- NPI 1609865666
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Myrlte Beach, SC
- NPI 1083668669
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637193600000",
"number": "1043281256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 N HARVARD AVE",
"address_2": "STE E",
"city": "TULSA",
"state": "OK",
"postal_code": "741154957",
"telephone_number": "918-832-6050",
"fax_number": "918-832-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717A S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741045344",
"telephone_number": "918-748-7557",
"fax_number": "918-748-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "CHRISTOPHER",
"middle_name": "DARIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2021-11-18",
"certification_date": "2021-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "23589",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "37310",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "23589",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200045420A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.