Individual provider Active NPI

Purna Prasad Manne, MD

  • Internal Medicine Physician
  • Garner, NC
National Provider Identifier
1376513697
Registry record updated Dec 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200500220 Issued in NC
Practice address
934 Vandora Springs Rd
Garner, NC 27529-3544
Phone
(919) 779-2851
NPI assigned
Jan 26, 2006
Last updated
Dec 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 200500220 NC Primary

Addresses

Primary practice location

934 Vandora Springs Rd
Garner, NC 27529-3544

Mailing address

934 Vandora Springs Rd
Garner, NC 27529-3544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050621000467 NC Practitioner - Internal Medicine 6002851003 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Carolinaeast Physicians Internal Medicine Current Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Hospitalist Medicine Physicians of North Carolina PLLC Internal Medicine CurrentSince Apr 25, 2017 Accepting new patients
Sound Physicians of North Carolina, PLLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Caromont Medical Group Inc Internal Medicine Current Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Jun 5, 2017 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2019 Accepting new patients
Carolinaeast Physicians CurrentSince Jan 1, 2019 Accepting new patients
Caromont Medical Group, Inc. CurrentSince Feb 25, 2014 Accepting new patients
Caromont Medical Group Inc CurrentSince Feb 25, 2014 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

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Ste 300
Raleigh, NC 27610
Phone (919) 350-8228

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600

Interoperability endpoints

  • Direct secure messaging: pmanne7246@directhisp.wakemed.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355184000000",
    "number": "1376513697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 VANDORA SPRINGS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 VANDORA SPRINGS RD",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293544",
            "telephone_number": "919-779-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNE",
        "first_name": "PURNA",
        "middle_name": "PRASAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200500220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.