Cornelius J. Mance, M.D., P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

CORNELIUS J. MANCE, M.D., P.C.

Practice address

2051 B Hamill Road
Hixson, TN 37343

Phone

(423) 877-1212

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cornelius Jefferson Mance, M.D.NPI 1861586331

Title

President

Phone

(423) 954-9556

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cornelius Jefferson Mance, MD

  • Neurology Physician
  • Hixson, TN
  • NPI 1861586331
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063507572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5309 INLET VIEW LANE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-954-9556",
            "fax_number": "423-954-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 B HAMILL ROAD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "37343",
            "telephone_number": "423-877-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELIUS J. MANCE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANCE",
        "authorized_official_first_name": "CORNELIUS",
        "authorized_official_middle_name": "JEFFERSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-954-9556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046304",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "3074846",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Alexander Condra
• Molly M. Connolly, SPTL
• Stacy Rebecca Conrad, OD
• Julianna Michele Cook, NP-C
• Thomas A Cook, MD
• Yvonne Jeanette Coulter, PT
• Kristin Heck Coverly, PHARM D
• Kelleen Eve Covington, MS, BCBA
• Eilzabeth Ann Crabtree, PARANEDIC, EMS DIREC
• Alison Sara Crane, LCSW

• Neurology Physician in Hixson, TN
• Providers in Hixson, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.