Juan Mannings, R.S.A.

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

238.000396 Issued in IL

Practice address

2218 Providence Point Dr
Lithonia, GA 30058-5167

Phone

(678) 799-5661

NPI assigned

Mar 9, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1295976926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 PROVIDENCE POINT DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585167",
            "telephone_number": "678-799-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 PROVIDENCE POINT DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300585167",
            "telephone_number": "678-799-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNINGS",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "R.S.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-09",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "238.000396",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "238.000396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magenta Breeze Home, Inc.
• Sarandeep K. Makkar, MD, DO
• Celia C Mamby, MD
• Shantae Mangaroo, M.D.
• Keyonna Manning, CPHT
• Pkanita Bonner Marion, NP
• Mark Lynn OD & Associates PC
• Mark Lynn OD & Associates, PC
• Mikeyera Marshall
• Latoria Martin, LNHA, BSN

• Registered Nurse First Assistant in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Registered Nurse First Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.