Individual provider Active NPI

Monica B Manocha, M.D.

  • Pediatrics Physician
  • Savannah, GA
National Provider Identifier
1396732376
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
042348 Issued in GA
Practice address
5102 Paulsen St
Building 3
Savannah, GA 31405-4601
Phone
(912) 354-5814
Fax
(912) 691-0923
NPI assigned
Oct 4, 2005
Last updated
Nov 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 042348 GA Primary

Addresses

Primary practice location

5102 Paulsen St
Building 3
Savannah, GA 31405-4601

Mailing address

5102 Paulsen St
Building 3
Savannah, GA 31405-4601
Phone (912) 354-5814

Other identifiers 2

IdentifierTypeStateIssuer
00716405BMedicaidGA
00716405AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042348GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Pediatrics Past Accepting new patients
Privia Medical Group of Georgia LLC Past Accepting new patients
Savannah Pediatrics, P.C. Pediatrics Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: monica.manocha.1@8042.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1396732376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BUILDING 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-354-5814",
            "fax_number": "912-691-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 PAULSEN ST",
            "address_2": "BUILDING 3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054601",
            "telephone_number": "912-354-5814",
            "fax_number": "912-691-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOCHA",
        "first_name": "MONICA",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "042348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00716405B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00716405A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.