Active NPI
Manning H Hanline Jr., MD
- Internal Medicine Physician
- Pensacola, FL
National Provider Identifier
1396717906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME32755
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02029 | Other | FL | BC FL |
| 4306740 | Other | AETNA | |
| 590 00561 | Other | AL | BC 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100426000251 | FL | Practitioner - Internal 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME32755 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pineleaf Emergency Physicians LLC | Past | Accepting new patients | |
| Manning Hanline, Jr., M.D. | Past | Accepting new patients | |
| Emergency Medicine Specialists PLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1629467717
-
- Emergency Medicine Physician
- Pensacola, FL
- NPI 1033158092
-
- Emergency Medicine Physician
- Brewton, AL
- NPI 1144279993
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.