Individual provider Active NPI

Manning H Hanline Jr., MD

  • Internal Medicine Physician
  • Pensacola, FL
National Provider Identifier
1396717906
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME32755 Issued in FL
Practice address
1717 North E Street
Suite 526
Pensacola, FL 32501
Phone
(850) 438-1878
Fax
(850) 433-1778
NPI assigned
Feb 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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 ME32755 FL Primary

Addresses

Primary practice location

1717 North E Street
Suite 526
Pensacola, FL 32501

Mailing address

1717 North E Street
Suite 526
Pensacola, FL 32501
Phone (850) 438-1878

Other identifiers 3

IdentifierTypeStateIssuer
02029OtherFLBC FL
4306740OtherAETNA
590 00561OtherALBC AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100426000251 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 5294899803 Practice locations: Pensacola, FL

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tulane University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1717 N E St
Suite 526
Pensacola, FL 32501-6333
Phone (850) 438-1878

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME32755FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pineleaf Emergency Physicians LLC Past Accepting new patients
Manning Hanline, Jr., M.D. PastSince Aug 1, 1978 Accepting new patients
Emergency Medicine Specialists PLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhanline@afac6677.micromddirect.com

Organizations & group practices 3

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 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": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1396717906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 NORTH E STREET",
            "address_2": "SUITE 526",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-438-1878",
            "fax_number": "850-433-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 NORTH E STREET",
            "address_2": "SUITE 526",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "32501",
            "telephone_number": "850-438-1878",
            "fax_number": "850-433-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLINE",
        "first_name": "MANNING",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME32755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC FL",
            "identifier": "02029",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4306740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC AL",
            "identifier": "590 00561",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.