Cathy Gayle Mann, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5006106 Issued in NC

Practice address

338 Howard Blvd
Newport, NC 28570-7928

Phone

(252) 223-5054

Fax

(252) 223-4038

NPI assigned

Mar 8, 2013

Last updated

May 6, 2024By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• County of Columbus Office of Accountant

  dba Columbus County Health Department

  • State or Local Public Health Clinic/Center
  • Whiteville, NC
  • NPI 1699950865
  Medicare reassignment NPD
• Jacksonville Children's and Multispecialty Clinic, PA

  • Family Medicine Physician
  • Jacksonville, NC
  • NPI 1164519070
  Medicare reassignment NPD
• Access Medical Management, Inc

  dba Access Medical Center

  • General Practice Physician
  • North Myrtle Beach, SC
  • NPI 1154415933
  Medicare reassignment NPD
• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  NC

  Medicare reassignment NPD
• Family Care Clinic, P.a.

  • Clinic/Center
  • Jacksonville, NC
  • NPI 1316033590
  NPD (past)
• Careteam Plus, Inc.

  dba Careteam Plus Pharmacy

  • Specialty Pharmacy
  • Conway, SC
  • NPI 1033738133
  NPD (past)
• New Horizon Family Health Services Inc.

  dba Care Team Express Mobile Medical Unit 2

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1356127021
  NPD (past)
• Theoria Medical

  dba Theoria Primary Care

  • Internal Medicine Physician
  • Brighton, MI
  • NPI 1164186946
  NPD (past)

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

{
    "created_epoch": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1174864656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986513",
            "address_2": "DEPT 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986513",
            "telephone_number": "910-219-8326",
            "fax_number": "910-939-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 HOWARD BLVD",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285707928",
            "telephone_number": "252-223-5054",
            "fax_number": "252-223-4038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Professional Park Dr",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "SC",
            "postal_code": "29526",
            "country_code": "US",
            "telephone_number": "843-234-0005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Main Street Ext",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285849114",
            "country_code": "US",
            "telephone_number": "910-325-0581",
            "fax_number": "910-325-0582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "CATHY",
        "middle_name": "GAYLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20244",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP4065",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peta Lewis, MS, CCC-SLP
• Life in the Vines, PLLC
• Life, Inc.
• Life, Inc. (LIFE, Inc./Nine Foot Road Group Home)
• Madelyn Shore, DMD, PLLC (Newport Dental)
• Maurice Dana (Newport Dermatology)
• Medical Park Pharmacy Newport
• Jaime Waicus Melito, OTR/L
• Mill Creek Fire Association Inc. (Mill Creek Fire & Rescue Dept)
• Monarch

• Family Nurse Practitioner in Newport, NC
• Providers in Newport, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.