Individual provider Active NPI

Julia Sodeman Manny, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Greensboro, NC
National Provider Identifier
1194967745
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
141420 Issued in NC
Practice address
706 Green Valley Rd
Ste 104
Greensboro, NC 27408-7038
Phone
(336) 387-2500
NPI assigned
Mar 28, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 141420 NC Primary

Addresses

Primary practice location

706 Green Valley Rd
Ste 104
Greensboro, NC 27408-7038

Mailing address

706 Green Valley Rd
Ste 104
Greensboro, NC 27408-7038
Phone (336) 387-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140818001875 NC Practitioner - Pathology 7810114618 Reassigns benefits to 1 organization
I20230728001664 FL Practitioner - Pathology 7810114618 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Southwestern Medical School at Dallas, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians
Triangle Gastroenterology PLLCGroup PAC ID 6002910403, 3 clinicians

Practice addresses (Care Compare)

1886 59TH St W
Bradenton, FL 34209-4630
Phone (941) 794-1980

2600 Atlantic Ave
Suite 100
Raleigh, NC 27604-1502
Phone (919) 881-9999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
141420NCMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Anatomic Pathology & Clinical Pathology CurrentSince Jun 5, 2023 Accepting new patients
Triangle Gastroenterology PLLC CurrentSince Jan 23, 2023 Accepting new patients
Florida Digestive Health Specialists, LLP Anatomic Pathology & Clinical Pathology CurrentSince Feb 1, 2024 Accepting new patients
One Path Diagnostics LLC Past Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

550 Redstone Ave W
Ste 370
Crestview, FL 32536
Phone (850) 682-2209

417A Racetrack Rd NW
Ste 2
Ft Walton Bch, FL 32547
Phone (850) 863-5990

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

10910 Technology Ter
Lakewood Ranch, FL 34211
Phone (813) 553-3332

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

9350 Bay Plaza Blvd
Ste 120
Tampa, FL 33619
Phone (813) 514-6149

2600 Atlantic Ave
#100
Raleigh, NC 27604
Phone (919) 881-9999

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/60532

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1238198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1194967745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 GREEN VALLEY RD",
            "address_2": "STE 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087038",
            "telephone_number": "336-387-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 GREEN VALLEY RD",
            "address_2": "STE 104",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087038",
            "telephone_number": "336-387-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNY",
        "first_name": "JULIA",
        "middle_name": "SODEMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-28",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "141420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.