Harvey A Mannes, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

017703 Issued in GA

Practice address

1700 Hospital South Dr
Suite 201
Austell, GA 30106-6810

Phone

(770) 948-7228

Fax

(770) 745-1434

NPI assigned

Sep 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Georgia Urology, PA

  • Ambulatory Surgical Clinic/Center
  • Braselton, GA
  • NPI 1861222119
  NPD (past)

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1356443048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 COUNTRY CLUB DR",
            "address_2": "BLDG 300, SUITE D",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819054",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HOSPITAL SOUTH DR",
            "address_2": "SUITE 201",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301066810",
            "telephone_number": "770-948-7228",
            "fax_number": "770-745-1434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNES",
        "first_name": "HARVEY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "017703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340010888",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000116696D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shivani Shivkumar Mallishery
• Deborah Pauline Malone
• Ellis L Malone, MD
• Faye E. Spector Maloney, MD
• Kamal Kishore Mandalapu, M.D.
• Amanda Manuel, FNP
• Sharon Maraman
• Michelle Taylor Marbury, PHARMD BCPS BCCCP
• Gregory P. March, PT
• Eric Stephen Markham, NP

• Urology Physician in Austell, GA
• Providers in Austell, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.