Active NPI
Richard Manning, MD
- Gynecology Physician
- Knoxville, TN
National Provider Identifier
1124226980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD 11823
- Practice address
- 313 Concord St
Knoxville, TN 37919-3304 - Phone
- (865) 522-5173
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD 11823 | TN | Primary |
| Gynecology Physician | 207VG0400X | 18023 | NC | |
| Gynecology Physician | 207VG0400X | 030649 | GA | |
| Gynecology Physician | 207VG0400X | 13803 | SC | |
| Gynecology Physician | 207VG0400X | MD 13692 | AL | |
| Gynecology Physician | 207VG0400X | 11600 | MS |
Addresses
Primary practice location
313 Concord St
Knoxville, TN 37919-3304
Mailing address
313 Concord St
Knoxville, TN 37919-3304
Phone (865) 414-4850
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13803 | Other | SC | LICENSE |
| 030649 | Other | GA | LICENSE |
| MD11823 | Other | TN | LICENSE |
| MD13692 | Other | AL | LICENSE |
| 11600 | Other | MS | LICENSE |
| 18023 | Other | NC | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13803 | SC | MD | Pharmacist |
| MD 13692 | AL | MD | Gynecology Physician |
| 030649 | GA | MD | Gynecology Physician |
| 11600 | MS | MD | Gynecology Physician |
| 18023 | NC | MD | Gynecology Physician |
| MD 11823 | TN | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Volunteer Women'S Medical Clinic | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Knoxville, TN
- NPI 1700084563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124226980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 CONCORD ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379193304",
"telephone_number": "865-414-4850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 CONCORD ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379193304",
"telephone_number": "865-522-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "TN",
"license": "MD 11823",
"primary": true
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "18023",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "GA",
"license": "030649",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "SC",
"license": "13803",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AL",
"license": "MD 13692",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MS",
"license": "11600",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "13803",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "030649",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD11823",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "MD13692",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "11600",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "18023",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.