Cathy Gayle Mann, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Newport, NC
NPI 1174864656 · NPPES record last updated May 6, 2024
Key facts
- NPI
- 1174864656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 5006106 (NC)
- Practice address
- 338 Howard Blvd
Newport, NC 28570-7928 - Phone
- (252) 223-5054
- Fax
- (252) 223-4038
- NPI assigned
- Mar 8, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140708001508 | NC | Practitioner - Nurse Practitioner | 4082839006 | Reassigns benefits to 3 organizations |
| I20161018001519 | SC | Practitioner - Nurse Practitioner | 4082839006 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20244 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Children'S and Multispecialty Clinic, PA | Current |
Accepting new patients | |
| County of Columbus Office of Accountant | Current |
Accepting new patients | |
| Theoria Medical | Current |
Accepting new patients | |
| Access Medical Management, Inc | Current |
Accepting new patients | |
| Careteam Plus, Inc. | Past | Accepting new patients | |
| Family Care Clinic, P.a. | Past | Accepting new patients | |
| Theoria Medical | Past | Accepting new patients | |
| New Horizon Family Health Services Inc. | Past |
Accepting new patients |
Locations
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
230 E Presnell St
Asheboro, NC 27203
Phone (336) 629-1447
114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976
1839 Onslow Dr
Jacksonville, NC 28540
Phone (910) 455-3610
120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
338 Howard Blvd
Newport, NC 28570
Phone (252) 223-3291
1106 Main Street Ext
Swansboro, NC 28584
Phone (910) 325-0581
304 Jefferson St
Whiteville, NC 28472
Phone (910) 640-6615
3816 Highway 17 S
North Myrtle Beach, SC 29582
Phone (843) 272-1411
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20244 | SC | |
| Family Nurse Practitioner | 363LF0000X | 5006106 | NC | Yes |
Addresses
Primary practice location
338 Howard Blvd
Newport, NC 28570-7928
Mailing address
PO Box 986513
Dept 100
Boston, MA 02298-6513
Phone (910) 219-8326
Other practice location 1
100 Professional Park Dr
Conway, SC 29526
Phone (843) 234-0005
Other practice location 2
1106 Main Street Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4065 | Medicaid | SC |
Other providers in Newport, NC
- Peta Lewis
- Life in the Vines, PLLC
- Life, Inc.
- Life, Inc.
- Madelyn Shore, DMD, PLLC
- Maurice Dana
- Medical Park Pharmacy Newport
- Jaime Waicus Melito
- Mill Creek Fire Association Inc.
- Monarch
All providers in Newport, NC · Family Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.