Individual provider Active NPI

Elise McManaman, NP

  • Women's Health Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1295394526
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN319751 Issued in GA
Practice address
3005 Peachtree Rd NE Ste 100
Atlanta, GA 30305-2214
Phone
(470) 765-6347
NPI assigned
Jun 11, 2019
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X APRN11019477 FL
Women's Health Nurse Practitioner 363LW0102X RN1031565 DC
Women's Health Nurse Practitioner 363LW0102X 0024177602 VA
Women's Health Nurse Practitioner 363LW0102X RN319751 GA Primary
Women's Health Nurse Practitioner 363LW0102X 421651 NY
Women's Health Nurse Practitioner 363LW0102X R232320 MD

Addresses

Primary practice location

3005 Peachtree Rd NE Ste 100
Atlanta, GA 30305-2214

Mailing address

333 S Desplaines St Ste 201
Chicago, IL 60661-5514

Other practice location 1

1111 19th St NW Ste 104
Washington, DC 20036-3619
Phone (202) 301-3595

Other practice location 2

16 E 40th St Fl 2
New York, NY 10016-0113
Phone (646) 751-7755

Other practice location 3

102 5th Ave
New York, NY 10011-6902
Phone (347) 778-2542

Other practice location 4

6000 Executive Blvd Ste 500
North Bethesda, MD 20852-3858
Phone (301) 363-0226

Other practice location 5

1530 Celebration Blvd Ste 200
Celebration, FL 34747-5165
Phone (407) 745-1669

Other practice location 6

3141 NE 1 Ave
Miami, FL 33137
Phone (305) 735-2307

Other identifiers 1

IdentifierTypeStateIssuer
2014107550MedicaidVA

Other names 1

  • Elise M May Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1031565DCMDWomen's Health Nurse Practitioner
APRN11019477FLMDWomen's Health Nurse Practitioner
RN319751GAMDWomen's Health Nurse Practitioner
R232320MDMDWomen's Health Nurse Practitioner
421651NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peach State Medical Practice, PC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Empire Medical Practice, PC Past Accepting new patients
Peach State Medical Practice, PC Past Accepting new patients
Garden State Medical Practice, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elise.mcmanaman.1@29536.direct.athenahealth.com

Organizations & group practices 5

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1295394526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S DESPLAINES ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606615514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 PEACHTREE RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052214",
            "telephone_number": "470-765-6347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 19th St NW Ste 104",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200363619",
            "country_code": "US",
            "telephone_number": "202-301-3595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 E 40th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160113",
            "country_code": "US",
            "telephone_number": "646-751-7755",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100116902",
            "country_code": "US",
            "telephone_number": "347-778-2542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Executive Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "North Bethesda",
            "state": "MD",
            "postal_code": "208523858",
            "country_code": "US",
            "telephone_number": "301-363-0226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Celebration Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Celebration",
            "state": "FL",
            "postal_code": "347475165",
            "country_code": "US",
            "telephone_number": "407-745-1669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3141 NE 1 Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "33137",
            "country_code": "US",
            "telephone_number": "305-735-2307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANAMAN",
        "first_name": "ELISE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "FL",
            "license": "APRN11019477",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DC",
            "license": "RN1031565",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "VA",
            "license": "0024177602",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN319751",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421651",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MD",
            "license": "R232320",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014107550",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "MAY",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.