NPIMap

Individual provider Active NPI

Andrew Todd Manley, M.D.

  • Neurology Physician
  • Mobile, AL
National Provider Identifier
1326300971
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
33162 Issued in AL
Practice address
3280 Dauphin St BLDG a
Mobile, AL 36606-4060
Phone
(251) 662-3737
Fax
(251) 217-8444
NPI assigned
Jun 11, 2012
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 33162 AL Primary

Addresses

Primary practice location

3280 Dauphin St BLDG a
Mobile, AL 36606-4060

Mailing address

3280 Dauphin St BLDG a
Mobile, AL 36606-4060
Phone (251) 662-3737

Other identifiers 1

IdentifierTypeStateIssuer
33162OtherALSTATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629001363 AL Practitioner - Neurology 0941449698 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of South Alabama College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Neurological Institute PCGroup PAC ID 4688617699, 16 clinicians

Practice addresses (Care Compare)

3280 Dauphin St
Suite a
Mobile, AL 36606-4060
Phone (251) 450-3700

3280 Dauphin St a
Mobile, AL 36606-4060

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33162ALMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Neurological Institute P.C. CurrentSince Jul 1, 2016 Accepting new patients

Locations

3280 Dauphin St
Bldg A
Mobile, AL 36606
Phone (251) 450-3700

3280 Dauphin St
Ste A
Mobile, AL 36606
Phone (251) 450-3700

Dept AT 952614
Atlanta, GA 31192

Interoperability endpoints

  • Direct secure messaging: coastalneurologicalinstitutepc.andrewmanley@160094.advancedmd-direct.com

Organizations & group practices 1

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1326300971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST BLDG A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-662-3737",
            "fax_number": "251-217-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 DAUPHIN ST BLDG A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064060",
            "telephone_number": "251-662-3737",
            "fax_number": "251-217-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLEY",
        "first_name": "ANDREW",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "33162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "33162",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.