G William Manifold, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

00007363 Issued in AL

Practice address

1874 Beltline Rd SW
Suite 300
Decatur, AL 35601-5514

Phone

(256) 350-9700

Fax

(256) 350-9797

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Parkway Medical Clinic Inc

  • Gynecology Physician
  • Decatur, AL
  • NPI 1811138431
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1437262995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356020548",
            "telephone_number": "256-350-9700",
            "fax_number": "256-350-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-350-9700",
            "fax_number": "256-350-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIFOLD",
        "first_name": "G",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "00007363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "K234",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009977685",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mahipal Ravipati
• Nabeehah Majid, MSW
• Malade Compassionate Chateau LLC
• Zana Dimera Malcom
• Managed Health Care Administration, Inc
• Douglas L Mann III
• Douglas Lee Mann Jr., OD
• Megan Obert Mapes, PHARMD
• Marathon Health LLC
• Mario Monge DMD PC

• Obstetrics & Gynecology Physician in Decatur, AL
• Providers in Decatur, AL by specialty
• Obstetrics & Gynecology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.