Individual provider Active NPI

Robert Manning, FNP-C

  • Family Nurse Practitioner
  • Matthews, NC
National Provider Identifier
1346788122
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20783 Issued in SC
Practice address
2618 Heathershire LN
Matthews, NC 28105-4081
Phone
(315) 222-4098
NPI assigned
Feb 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 20783 SC Primary

Addresses

Primary practice location

2618 Heathershire LN
Matthews, NC 28105-4081

Mailing address

2618 Heathershire LN
Matthews, NC 28105-4081
Phone (315) 222-4098

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ROBERT.MANNING@hca5.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170623001647 SC Practitioner - Nurse Practitioner 4789952292 Reassigns benefits to 2 organizations
I20180508001068 GA Practitioner - Nurse Practitioner 4789952292 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

222 S Herlong Ave
Rock Hill, SC 29732-1158
Phone (803) 329-1234

3651 Wheeler Rd
Augusta, GA 30909-6521
Phone (706) 651-3232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20783SCMDProsthetics Case Management

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Em-I Medical Services, LLC CurrentSince Mar 5, 2018 Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC CurrentSince Dec 1, 2017 Accepting new patients
Peach State Emergency Physicians LLC CurrentSince May 24, 2024 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Jun 1, 2017 Accepting new patients
Georgia Em-I Medical Services. LLC Current Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

Interoperability endpoints

  • Direct secure messaging: robert.manning@hca5.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1346788122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 HEATHERSHIRE LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054081",
            "telephone_number": "315-222-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 HEATHERSHIRE LN",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054081",
            "telephone_number": "315-222-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-01",
        "last_updated": "2022-02-08",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ROBERT.MANNING@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2618 Heathershire Ln",
            "city": "Matthews",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281054081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.