Purna Prasad Manne, MD
Individual provider Active NPI Internal Medicine Physician · Garner, NC
NPI 1376513697 · NPPES record last updated Dec 11, 2012
Key facts
- NPI
- 1376513697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 200500220 (NC)
- Practice address
- 934 Vandora Springs Rd
Garner, NC 27529-3544 - Phone
- (919) 779-2851
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 20
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wakemed Specialists Group LLC
Practice addresses (Care Compare)
1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-8000
Hospital & facility affiliations
- Wakemed, Cary Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050621000467 | NC | Practitioner - Internal Medicine | 6002851003 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200500220 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wakemed Specialists Group, LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Current |
Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Carolinaeast Physicians | Current |
Accepting new patients | |
| Caromont Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of North Carolina PLLC | Internal Medicine | Current |
Accepting new patients |
| Caromont Medical Group, Inc. | Current |
Accepting new patients | |
| Wakemed Specialists Group LLC | Current |
Accepting new patients | |
| Sound Physicians of North Carolina, PLLC | Internal Medicine | Current |
Accepting new patients |
| Caromont Medical Group Inc | Current |
Accepting new patients | |
| Carolinaeast Physicians | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of North Carolina, PC | Internal Medicine | Current |
Accepting new patients |
| Internal Medicine Specialist, PA | Internal Medicine | Past | Accepting new patients |
| Wake Specialty Physicians, LLC | Internal Medicine | Past | Accepting new patients |
Locations
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791
1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610
400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400
660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
3024 New Bern Ave
Ste 300
Raleigh, NC 27610
Phone (919) 350-8228
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
Interoperability endpoints
- pmanne7246@directhisp.wakemed.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200500220 | NC | Yes |
Addresses
Primary practice location
934 Vandora Springs Rd
Garner, NC 27529-3544
Mailing address
934 Vandora Springs Rd
Garner, NC 27529-3544
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139N3 | Other | NC | BLUE CROSS BLUE SHIELD |
| 5900872 | Medicaid | NC | |
| P00237086 | Other | NC | RAILROAD MEDICARE |
Other providers in Garner, NC
- Rebecca Mahon
- Mainstream Wellness Group
- Malek & Rohani, DDS, PLLC
- Chelsea A Mancuso
- Murthy G K Manne
- Sharyn Randi Marcisak
- Elena Fratis Marquez
- Chona Martin
- Erica Martin
- Emily Lee Maschauer
All providers in Garner, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.