Individual provider Active NPI

Christopher S Manganaris, MD

  • Pulmonary Disease Physician
  • Guntersville, AL
National Provider Identifier
1447394648
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
30912 Issued in AL
Practice address
55 Rowe Drive
Ste. C
Guntersville, AL 35976
Phone
(256) 753-8810
Fax
(256) 753-8880
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 30912 AL Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 30912 AL
Sleep Medicine (Internal Medicine) Physician 207RS0012X 30912 AL

Addresses

Primary practice location

55 Rowe Drive
Ste. C
Guntersville, AL 35976

Mailing address

P.O. Box 11407
Dept #2051
Birmingham, AL 35246-2051
Phone (256) 753-8810

Other identifiers 2

IdentifierTypeStateIssuer
134280MedicaidAL
511-19820OtherALBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120410000069 AL Practitioner - Pulmonary Disease 3072774777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Marshall Medical Center South Manganaris PulmonologyGroup PAC ID 5092976787, 7 clinicians

Practice addresses (Care Compare)

8000 Al Hwy 69
Guntersville, AL 35976-7140
Phone (256) 571-8000

Hospital & facility affiliations

  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30912ALMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Medical Center South Manganaris Pulmonology Pulmonary Disease CurrentSince Jan 18, 2012 Accepting new patients

Locations

7938 AL Highway 69
Ste 210
Guntersville, AL 35976
Phone (256) 571-8807

55 Rowe Dr
#C
Guntersville, AL 35976
Phone (256) 571-8810

8000 AL Highway 69
Guntersville, AL 35976
Phone (256) 571-8000

Interoperability endpoints

  • Direct secure messaging: christophermanganaris@dcmmmc.allscriptsdirect.net

Organizations & group practices 1

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 2

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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1447394648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11407",
            "address_2": "DEPT #2051",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352462051",
            "telephone_number": "256-753-8810",
            "fax_number": "256-753-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 ROWE DRIVE",
            "address_2": "STE. C",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "35976",
            "telephone_number": "256-753-8810",
            "fax_number": "256-753-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGANARIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "30912",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AL",
            "license": "30912",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AL",
            "license": "30912",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134280",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "511-19820",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

Verify at the official NPI Registry.