Jenah Wesley Manzano, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06834 Issued in NC

Practice address

410 Canterbury Rd
Smithfield, NC 27577-4861

Phone

(919) 934-5149

Fax

(919) 934-5632

NPI assigned

Jan 4, 2017

Last updated

Jan 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Durham Medical Group PAGroup PAC ID 2365409588, 80 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenahaldridge@hfmpa.allscriptsdirect.net

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.

• Raleigh Durham Medical Group PA

  dba Orange Family Medical Group

  • Family Medicine Physician
  • Hillsborough, NC
  • NPI 1194828145
  Medicare reassignment Care Compare group NPD
• Raleigh Durham Medical Group PA

  • Family Medicine Physician
  • Cary, NC
  • NPI 1295784874
  NPD
• Raleigh Durham Medical Group, PA

  dba Horizon Family Medicine

  • Family Medicine Physician
  • Clayton, NC
  • NPI 1013371061

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1326583071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 WOLFSNARE LN",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607061",
            "telephone_number": "561-376-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CANTERBURY RD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774861",
            "telephone_number": "919-934-5149",
            "fax_number": "919-934-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Wolfsnare Ln",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275607061",
            "country_code": "US",
            "telephone_number": "561-376-5705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "236 Butternut Ln",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275205857",
            "country_code": "US",
            "telephone_number": "919-359-1011",
            "fax_number": "919-359-9122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Cunningham Ln",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275273923",
            "country_code": "US",
            "telephone_number": "919-359-6016",
            "fax_number": "919-359-6017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "JENAH",
        "middle_name": "WESLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-04",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
• Mainstreet and Kidsstreet of North Carolina PLLC (MainStreet Family Care)
• Rajiv T Majithia, MD FACG AGAF
• Nikki Mangum
• Manmohan Singh MD PA
• Marc S. Stevens, MD, PA
• Danielle Marino, CCC-SLP
• Julie Smith Markovich, RPH
• Jaime Marrone
• Ashleigh Pappadake Martin, CPNP-PC

• Physician Assistant in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.

Verify at the official NPI Registry.