Individual provider Active NPI

Michelle Renae Mann, D.C.

  • Chiropractor
  • Hartwell, GA
National Provider Identifier
1174546782
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5342 Issued in GA
Practice address
25 Old 29 Hwy
Suite 6
Hartwell, GA 30643-7045
Phone
(706) 376-8686
Fax
(706) 376-9694
NPI assigned
Jul 25, 2006
Last updated
Jan 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5342 GA Primary

Addresses

Primary practice location

25 Old 29 Hwy
Suite 6
Hartwell, GA 30643-7045

Mailing address

25 Old Hwy 29
Suite 6
Hartwell, GA 30643
Phone (706) 376-8686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000238 GA Practitioner - Chiropractic 4981608783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3992 Anderson Hwy
Hartwell, GA 30643-7159
Phone (706) 376-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5342GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Mobile Chiropractic, Inc. Chiropractor CurrentSince Aug 28, 2006 Accepting new patients

Locations

25 Old 29 Hwy
Ste 6
Hartwell, GA 30643
Phone (706) 376-8686

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1174546782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD HWY 29",
            "address_2": "SUITE 6",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "30643",
            "telephone_number": "706-376-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 OLD 29 HWY",
            "address_2": "SUITE 6",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306437045",
            "telephone_number": "706-376-8686",
            "fax_number": "706-376-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MICHELLE",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "5342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.