Individual provider Active NPI

Keith Eric McManus, M.D.

  • Family Medicine Physician
  • Denver, NC
National Provider Identifier
1477563229
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32789 Issued in NC
Practice address
269 Gillman Rd Ste 100
Denver, NC 28037-7923
Phone
(704) 316-4930
Fax
(704) 316-4931
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32789 NC Primary

Addresses

Primary practice location

269 Gillman Rd Ste 100
Denver, NC 28037-7923

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

801 W 3rd St
Siler City, NC 27344-3037
Phone (919) 663-0085

Other practice location 2

137 Island Ford Rd
Maiden, NC 28650
Phone (828) 428-0917

Other identifiers 2

IdentifierTypeStateIssuer
56872OtherNCBCBS OF NC
8957844MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmcmanus858262@direct.novanthealth.org

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-2, LLC PastSince Jan 5, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmcmanus858262@direct.novanthealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1477563229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 GILLMAN RD STE 100",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377923",
            "telephone_number": "704-316-4930",
            "fax_number": "704-316-4931"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Siler City",
            "state": "NC",
            "postal_code": "273443037",
            "country_code": "US",
            "telephone_number": "919-663-0085",
            "fax_number": "919-663-0289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Island Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Maiden",
            "state": "NC",
            "postal_code": "28650",
            "country_code": "US",
            "telephone_number": "828-428-0917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "KEITH",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "32789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "56872",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8957844",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmcmanus858262@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "269 Gillman Rd Ste 100",
            "city": "Denver",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280377923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.