Active NPI
Paul Emmet McManus, M.D.
- Ophthalmology Physician
- Decatur, GA
National Provider Identifier
1053312959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 030822
- Practice address
- 1457 Scott Blvd
Decatur, GA 30030 - Phone
- (404) 292-2500
- Fax
- (404) 294-9361
- NPI assigned
- Aug 2, 2005
- Last updated
- Aug 13, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 030822 | GA | Primary |
| Glaucoma Specialist (Ophthalmology) Physician | 207WX0009X | 030822 | GA |
Addresses
Primary practice location
1457 Scott Blvd
Decatur, GA 30030
Mailing address
PO Box 1798
Decatur, GA 30031-1798
Phone (404) 292-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00371533C | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030822 | GA | MD | Glaucoma Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Physicians and Surgeons PC | Ophthalmology | Current | Accepting new patients |
| Eps Surgical Center, LLC | Past | Accepting new patients |
Locations
1457 Scott Blvd
Decatur, GA 30030
Phone (404) 292-2500
Interoperability endpoints
- pmcmanus@atlantaeye.intellechartdirect.net
Organizations & group practices 2
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.
-
- Ophthalmology Physician
- Decatur, GA
- NPI 1720011422
-
- Ambulatory Surgical Clinic/Center
- Decatur, GA
- NPI 1922262278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1053312959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1798",
"city": "DECATUR",
"state": "GA",
"postal_code": "300311798",
"telephone_number": "404-292-2500",
"fax_number": "404-294-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1457 SCOTT BLVD",
"city": "DECATUR",
"state": "GA",
"postal_code": "30030",
"telephone_number": "404-292-2500",
"fax_number": "404-294-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMANUS",
"first_name": "PAUL",
"middle_name": "EMMET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-02",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "GA",
"license": "030822",
"primary": true
},
{
"code": "207WX0009X",
"taxonomy_group": "",
"desc": "Ophthalmology, Glaucoma Specialist",
"state": "GA",
"license": "030822",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00371533C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
- Kiwanda McLemore, RD, LD
- McLeod Counseling Services, LLC (McLeod Counseling and Professional Services)
- Kelli Christine McLeod-Roy, MA, NCC, LPC
- Linda McNeely McLeod, LPC
- McMahan Shoes, Inc.
- Ian S McMillan, PA-C
- Karen Valentine McMillan, RN
- Roxanne Claire McMorris, M.D.
- Kemisha M McMullen, RN
- Deborah W. McNair, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.