Individual provider Active NPI

Karen Griffin Manus, NP

  • Nurse Practitioner
  • Bollivia, NC
National Provider Identifier
1477551760
Registry record updated Apr 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
900418 Issued in NC
Practice address
257 Hospital Dr
Ste 201
Bollivia, NC 28422-8665
Phone
(910) 662-9500
Fax
(910) 662-9501
NPI assigned
Jul 11, 2005
Last updated
Apr 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 900418 NC Primary

Addresses

Primary practice location

257 Hospital Dr
Ste 201
Bollivia, NC 28422-8665

Mailing address

PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9500

Other practice location 1

584 Hospital Dr NE
Unit E
Bolivia, NC 28422-0019
Phone (910) 754-5453

Other practice location 2

2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone (910) 662-9500

Other practice location 3

3009 Medical Plaza Ln
Southport, NC 28461-5194
Phone (910) 662-9500

Other practice location 4

800 Jefferson St
Ste 112
Whiteville, NC 28472-3710
Phone (910) 642-8164

Other practice location 5

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmanus127945@direct.nhrmc.org NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726001446 NC Practitioner - Nurse Practitioner 8022088376 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
900418NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Feb 8, 2016 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Feb 8, 2016 Accepting new patients
Legacy Heart Care of Charlotte, LLC CurrentSince Apr 1, 2016 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
Pinehurst Cardiology Consultants PLLC Past Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

257 Hospital Dr NE
Ste 201
Bolivia, NC 28422

584 Hospital Dr NE
Unit E
Bolivia, NC 28422
Phone (910) 754-5453

10650 Park Rd
Ste 220
Charlotte, NC 28210
Phone (704) 667-3840

300 Billingsley Rd
Ste 101
Charlotte, NC 28211
Phone (704) 334-1401

6701 Carmel Rd
Unit 355
Charlotte, NC 28226
Phone (704) 334-1401

2000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 662-8765

134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100

3009 Medical Plaza Ln
Southport, NC 28461
Phone (910) 454-1234

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

Interoperability endpoints

  • Direct secure messaging: kmanus@crhn.cernerdirect.com
  • Direct secure messaging: kmcbryde34997@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 8

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682467200000",
    "number": "1477551760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 HOSPITAL DR",
            "address_2": "STE 201",
            "city": "BOLLIVIA",
            "state": "NC",
            "postal_code": "284228665",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Hospital Dr NE",
            "address_2": "Unit E",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284220019",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brabham Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285460201",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3009 Medical Plaza Ln",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "NC",
            "postal_code": "284615194",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Jefferson St",
            "address_2": "Ste 112",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723710",
            "country_code": "US",
            "telephone_number": "910-642-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUS",
        "first_name": "KAREN",
        "middle_name": "GRIFFIN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmanus127945@direct.nhrmc.org",
            "affiliation": "Y",
            "affiliationName": "NOVANT HEALTH MEDICAL GROUP COASTAL REGION, LLC",
            "address_1": "1415 Physicians Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.