Individual provider Active NPI

Christin Abigail Manning

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1487336947
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9119239 Issued in FL
Practice address
4910 N 12TH Ave
Pensacola, FL 32504-8972
Phone
(850) 494-4600
Fax
(850) 433-8940
NPI assigned
Aug 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9119239 FL Primary

Addresses

Primary practice location

4910 N 12TH Ave
Pensacola, FL 32504-8972

Mailing address

4910 N 12TH Ave
Pensacola, FL 32504-8972
Phone (850) 494-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20241017001604 FL Practitioner - Physician Assistant 6800328659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pensacola Primary Care IncGroup PAC ID 6002718343, 21 clinicians

Practice addresses (Care Compare)

1190 E Nine Mile Rd
West Florida Primary Care Nine Mi
Pensacola, FL 32514-1651
Phone (850) 857-4040

4910 N 12TH Ave
Pensacola, FL 32504-8972
Phone (850) 494-4600

Hospital & facility affiliations

  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Primary Care Inc CurrentSince Oct 20, 2024 Accepting new patients
Pensacola Primary Care, Inc. Past Accepting new patients

Locations

1190 E Nine Mile Rd
Pensacola, FL 32514
Phone (850) 474-8771

8333 N Davis Hwy
Pensacola, FL 32514
Phone (850) 474-8000

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: christin.manning@hca5.eclinicaldirectplus.com

Organizations & group practices 3

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 1

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": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1487336947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048972",
            "telephone_number": "850-494-4600",
            "fax_number": "850-433-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 N 12TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048972",
            "telephone_number": "850-494-4600",
            "fax_number": "850-433-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "CHRISTIN",
        "middle_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.