Active NPI
Keith Eric McManus, M.D.
- Family Medicine Physician
- Denver, NC
National Provider Identifier
1477563229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56872 | Other | NC | BCBS OF NC |
| 8957844 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCPC-2, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Internal Medicine Physician
- Rockingham, NC
- NPI 1962737452
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.