Bailey Nicole Manson, ATC, OTC, OT-SC

Primary specialty

Orthopedic AssistantTaxonomy code 246ZX2200X

License

24-2832 Issued in GA

Practice address

2860 Ronald Reagan Blvd Ste 300
Cumming, GA 30041-6290

Phone

(404) 355-0743

Fax

(855) 283-8851

NPI assigned

Apr 14, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1093334518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 RONALD REAGAN BLVD.",
            "address_2": "STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "30041",
            "telephone_number": "404-355-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 RONALD REAGAN BLVD STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416290",
            "telephone_number": "404-355-0743",
            "fax_number": "855-283-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSON",
        "first_name": "BAILEY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "ATC, OTC, OT-SC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZX2200X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Orthopedic Assistant",
            "state": "GA",
            "license": "24-2832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlei-Jane Mangano
• Jagindra N Mangru, MD
• Allison Mangum, FNP-C
• Angela Mann, CCC-SLP
• Marla Mann
• Bhargavi Mantha, PAC
• Many Smiles Dental, LLC
• Hannah Mapes, LMSW
• Maple Hearing Clinic LLC
• Tiffany Marcelo

• Other Specialist/Technologist in Cumming, GA
• Providers in Cumming, GA by specialty
• Other Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.