Richard Leon Manrique, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

031286 Issued in GA

Practice address

1816 Eagle Dr
Suite 200-B
Woodstock, GA 30189-8272

Phone

(404) 822-5605

NPI assigned

Jul 2, 2006

Last updated

Sep 21, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Emergency MedicineAlso: General Practice

Education

University of Miami, LM Miller School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta Osteoarthritis Center LLCGroup PAC ID 2567893357, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: richard.manrique@3680.securemail.prognocis.com

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.

• Atlanta Osteoarthritis Center LLC

  • General Practice Physician
  • Marietta, GA
  • NPI 1548892458
  Medicare reassignment Care Compare group NPD
• CTD Network LLC

  • Multi-Specialty Clinic/Center
  • Plant City, FL
  • NPI 1851039762

  GA, General Practice

  Medicare reassignment NPD
• Eagle Drive Family Medicine PC

  • General Practice Physician
  • Woodstock, GA
  • NPI 1750514295
  Authorized official Same address or phone
• Carter Emergency Physicians

  • Emergency Medicine Physician
  • Elberton, GA
  • NPI 1356377022
  NPD (past)
• Independence Emergency Physicians LLC

  • Emergency Medicine Physician
  • Bremen, GA
  • NPI 1164458832
  NPD (past)
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1548299332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28118",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303580118",
            "telephone_number": "404-822-5605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 EAGLE DR",
            "address_2": "SUITE 200-B",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301898272",
            "telephone_number": "404-822-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUE",
        "first_name": "RICHARD",
        "middle_name": "LEON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "031286",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "031286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000395216L",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Marie Friel Maloney, FNP-C
• Diane L Malpass, LMFT, PSY.D.
• Manely Kids
• Courtney Maniatis, D.O.
• Karen D Manire, OT
• Joseph Benedict Malabanan Maralit, PT
• Cassandra L Marchant, DC
• Marietta Eye Clinic, PA
• Marietta Eye Optical Inc
• Marietta Plastic Surgery

• General Practice Physician in Woodstock, GA
• Providers in Woodstock, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.