Dawn B Mancuso, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15990 Issued in AL

Practice address

12205 County Line Rd
Suite B
Madison, AL 35758-7719

Phone

(256) 325-4365

Fax

(256) 461-0393

NPI assigned

Aug 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cureme Clinic LLC

  • Family Medicine Physician
  • Madison, AL
  • NPI 1700476736
  Medicare reassignment NPD
• Doctor-Patient Medicine Inc

  • Family Medicine Physician
  • Madison, AL
  • NPI 1497240485
  Medicare reassignment NPD
• Lister Healthcare Corporation

  • Family Medicine Physician
  • Muscle Shoals, AL
  • NPI 1437981172
  NPD (past)
• Singing River Healthcare, LLC

  • General Practice Physician
  • Florence, AL
  • NPI 1013330216
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1114935756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 617",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357580617",
            "telephone_number": "256-325-4365",
            "fax_number": "256-461-0393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 COUNTY LINE RD",
            "address_2": "SUITE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357587719",
            "telephone_number": "256-325-4365",
            "fax_number": "256-461-0393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCUSO",
        "first_name": "DAWN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "15990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "051506404",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eva Malone, RBT
• Robert Malone, RPT
• Robin Gail Malone, LPC
• Ernest Maloy
• Angelo Mancuso, DO
• Sabrina Mangieri
• Brian Mann, D.C.
• Amy Manners, D.O.
• Gabrielle Alissa Manning
• Mar Wellness LLC

• Family Medicine Physician in Madison, AL
• Providers in Madison, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; 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.

Verify at the official NPI Registry.