Active NPI
Stephanie C Manginelli, M.D.
- Family Medicine Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000025987
- Practice address
- 303 Med Tech Pkwy
Suite 150
Johnson City, TN 37604-2364 - Phone
- (423) 282-8070
- Fax
- (423) 794-1826
- NPI assigned
- Nov 17, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0000025987 | TN | Primary |
Addresses
Primary practice location
303 Med Tech Pkwy
Suite 150
Johnson City, TN 37604-2364
Mailing address
PO Box 632476
Cincinnati, OH 45263-2476
Phone (423) 282-8070
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3122084 | Other | TN | BLUE CROSS BLUE SHEILD |
| 3830487 | Medicaid | TN | |
| 3830484 | Medicaid | TN | |
| 5470176 | Other | TN | AETNA |
Other names 1
- Stephanie Nicole Cartwright
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- East Tennessee State University Quillen College of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
313 Princeton Rd
Suite 3
Johnson City, TN 37601-2000
Phone (423) 282-5435
Hospital & facility affiliations
- Amedisys Home Health
- Johnson City Medical Center
- Sycamore Shoals Hospital
- Franklin Woods Community Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000025987 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Education Assistance Corporation | Family Medicine | Current | Accepting new patients |
| State of Franklin Healthcare Associates PLLC | Family Medicine | Current | Accepting new patients |
| State of Franklin Healthcare Associates PLLC | Past | Accepting new patients | |
| Boiling Spring Lakes Family Medicine, PC | Family Medicine | Past | Accepting new patients |
Locations
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
313 Princeton Rd
Ste 3
Johnson City, TN 37601
Phone (423) 282-4819
303 Med Tech Pkwy
Ste 150
Johnson City, TN 37604
Phone (423) 282-8070
917 W Walnut St
Johnson City, TN 37604
Phone (423) 439-6464
222 E Main St
Johnson City, TN 37604
Phone (423) 433-6200
5 Worth Cir
Ste 4
Johnson City, TN 37601
Phone (423) 282-4819
Interoperability endpoints
- stephaniemanginelli@sofha.allscriptsdirect.net
- https://api.platform.athenahealth.com/16348/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/24871/brand/1/csg/1/fhir/r4
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.
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1063459410
Family Medicine
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
Family Medicine
-
- Clinical Medical Laboratory
- Johnson City, TN
- NPI 1841846136
-
- Family Medicine Physician
- Southport, NC
- NPI 1730275090
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Johnson City, TN
- NPI 1942258769
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1023434339
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1114033628
-
- General Acute Care Hospital
- Elizabethton, TN
- NPI 1891801734
-
- Psychiatric Hospital Unit
- Johnson City, TN
- NPI 1962915652
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1225010010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 632476",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452632476",
"telephone_number": "423-282-8070",
"fax_number": "423-794-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 MED TECH PKWY",
"address_2": "SUITE 150",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376042364",
"telephone_number": "423-282-8070",
"fax_number": "423-794-1826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGINELLI",
"first_name": "STEPHANIE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000025987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "3122084",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3830487",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3830484",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5470176",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "CARTWRIGHT",
"middle_name": "NICOLE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.
- 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.