NPIMap

Individual provider Active NPI

Stewart Cleaves Manning, M.D.

  • Nephrology Physician
  • Elizabeth City, NC
National Provider Identifier
1104897537
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
38380 Issued in NC
Practice address
1121 N Road St Ste a
Elizabeth City, NC 27909-3470
Phone
(252) 338-2144
Fax
(252) 338-2145
NPI assigned
Feb 1, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 38380 NC
Internal Medicine Physician 207R00000X 38380 NC
Nephrology Physician 207RN0300X 38380 NC Primary

Addresses

Primary practice location

1121 N Road St Ste a
Elizabeth City, NC 27909-3470

Mailing address

1121 N Road St
Ste a
Elizabeth City, NC 27909-3353
Phone (252) 338-2144

Other practice location 1

1140 N Road St
Elizabeth City, NC 27909-3353
Phone (252) 338-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000996 NC Practitioner - Internal MedicinePractitioner - Nephrology 1254310816 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Virginia Commonwealth University, School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1121 N Rd St
Suite a
Elizabeth City, NC 27909-3470
Phone (252) 338-2144

1140 N Rd St
Elizabeth City, NC 27909-3353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.76 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
75.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38380NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Albemarle Regional Medical Center CurrentSince Sep 30, 2015 Accepting new patients
Sentara Albemarle Regional Medical Center CurrentSince Sep 30, 2015 Accepting new patients
Stewart Cleaves Manning, MD PA Specialist CurrentSince Dec 1, 2003 Accepting new patients

Locations

111 Medical Dr
Ste B
Elizabeth Cty, NC 27909
Phone (252) 338-2144

1121 N Road St
Ste A
Elizabeth Cty, NC 27909
Phone (252) 338-2144

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFECCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/IFECCA/Endpoint/IFECCA
  • Direct secure messaging: stewart.manning@scm.eclinicaldirectplus.com

Organizations & group practices 3

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104897537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST",
            "address_2": "STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093353",
            "telephone_number": "252-338-2144",
            "fax_number": "252-338-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093470",
            "telephone_number": "252-338-2144",
            "fax_number": "252-338-2145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N Road St",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093353",
            "country_code": "US",
            "telephone_number": "252-338-2144",
            "fax_number": "252-338-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNING",
        "first_name": "STEWART",
        "middle_name": "CLEAVES",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "38380",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "38380",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "38380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.