Alphena Venecie Dyer-Mantack, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP285710 Issued in GA

Practice address

305 Tyndall Way
Perry, GA 31069-9819

Phone

(478) 919-1042

NPI assigned

Apr 28, 2026

Last updated

Apr 28, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing

State licenses

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1346186582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 TYNDALL WAY",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699819",
            "telephone_number": "478-919-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 TYNDALL WAY",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310699819",
            "telephone_number": "478-919-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYER-MANTACK",
        "first_name": "ALPHENA",
        "middle_name": "VENECIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP285710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christina Woodall Easler, PHARM D.
• Emory Physical Therapy, LLC
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• Otha Everett, EDD, CRC, MHP

• Family Nurse Practitioner in Perry, GA
• Providers in Perry, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.