NPIMap

Individual provider Active NPI

David E Mann Jr., MD

  • Hematology & Oncology Physician
  • Santa Rosa Beach, FL
National Provider Identifier
1366425670
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME0072939 Issued in FL
Practice address
27 Mack Bayou Loop Ste 1000
Santa Rosa Beach, FL 32459-2613
Phone
(850) 622-0873
Fax
(850) 622-1912
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME0072939 FL Primary

Addresses

Primary practice location

27 Mack Bayou Loop Ste 1000
Santa Rosa Beach, FL 32459-2613

Mailing address

PO Box 2699
Pensacola, FL 32513-2699
Phone (850) 475-4686

Other practice location 1

1717 N E St
Suite 231
Pensacola, FL 32501-6339
Phone (850) 469-7975

Other identifiers 8

IdentifierTypeStateIssuer
009911907 (CRO)MedicaidAL
45078OtherFLBCBS OF FL
118296MedicaidAL
251926700MedicaidFL
P00426268OtherFLRAILROAD MEDICARE
591-92755OtherALBCBS OF AL-DEFUNIAK SPGS
347671OtherFLAVMED
591-92748OtherALBCBS OF AL - CRESTVIEW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20071026000293 FL Practitioner - Medical OncologyPractitioner - Hematology/Oncology 8224125083 Reassigns benefits to 1 organization
I20230320002347 AL Practitioner - Hematology/Oncology 8224125083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Hahnemann University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacred Heart Health System Inc 373 clinicians

Practice addresses (Care Compare)

104 Medical Park Dr
Andalusia, AL 36420-5357
Phone (850) 474-8382

1545 Airport Blvd
Pensacola, FL 32504-8615

Hospital & facility affiliations

  • Aveanna Hospice of Andalusia Hospice, Andalusia, AL, CCN 011597
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Andalusia Health Hospital, Andalusia, AL, CCN 010036
  • Mizell Memorial Hospital Hospital, Opp, AL, CCN 010007
  • Sacred Heart Hospital on the Emerald Coast Hospital, Miramar Beach, FL, CCN 100292
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0072939FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Cancer Center, PC Hematology & Oncology Current Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System, Inc. Hematology & Oncology CurrentSince Mar 1, 2019 Accepting new patients
Sacred Heart Health System Inc CurrentSince Mar 1, 2019 Accepting new patients
West Florida Medical Center Clinic PA Past Accepting new patients

Locations

104 Medical Park Dr
Andalusia, AL 36420
Phone (334) 427-5001

6701 Airport Blvd
Bldg B
Mobile, AL 36608
Phone (251) 633-1890

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700

1545 Airport Blvd
#2000
Pensacola, FL 32504
Phone (850) 416-6933

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

27 Mack Bayou Loop
Ste 1000
Santa Rosa Beach, FL 32459
Phone (850) 622-0873

Interoperability endpoints

  • Direct secure messaging: dmann01@yourcarecommunity.org

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1366425670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-475-4686",
            "fax_number": "850-475-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MACK BAYOU LOOP STE 1000",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324592613",
            "telephone_number": "850-622-0873",
            "fax_number": "850-622-1912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 N E St",
            "address_2": "Suite 231",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325016339",
            "country_code": "US",
            "telephone_number": "850-469-7975",
            "fax_number": "850-469-2113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME0072939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911907 (CRO)",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "45078",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118296",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251926700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00426268",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL-DEFUNIAK SPGS",
            "identifier": "591-92755",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "347671",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL - CRESTVIEW",
            "identifier": "591-92748",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

Verify at the official NPI Registry.