NPIMap

Individual provider Active NPI

Mark Warren McManus, MD

  • Family Medicine Physician
  • Morganton, NC
National Provider Identifier
1558304097
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33273 Issued in NC
Practice address
6336 US Highway 64
Morganton, NC 28655-7141
Phone
(828) 430-9004
Fax
(828) 430-9444
NPI assigned
Jun 13, 2006
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 33273 NC Primary

Addresses

Primary practice location

6336 US Highway 64
Morganton, NC 28655-7141

Mailing address

201 Ervin Rd
Morganton, NC 28655-2511
Phone (828) 438-1169

Other practice location 1

304 S Green St
Morganton, NC 28655-3527
Phone (828) 430-9004

Other identifiers 2

IdentifierTypeStateIssuer
8957849MedicaidNC
57849OtherNCBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000904 NC Practitioner - Family Practice 8729041892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hopewell Family Medicine PAGroup PAC ID 2567425630, 3 clinicians

Practice addresses (Care Compare)

6336 US
Suite 64
Morganton, NC 28655-7141
Phone (828) 430-9004

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hopewell Family Medicine PA Family Medicine CurrentSince Oct 15, 2002 Accepting new patients
Table Rock Family Medicine Family Medicine Past Accepting new patients
Blue Ridge Healthcare Medical Group, Inc Family Medicine Past Accepting new patients

Locations

304 S Green St
Morganton, NC 28655
Phone (828) 430-9004

6336 US Highway 64
Morganton, NC 28655
Phone (828) 430-9004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1558304097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ERVIN RD",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286552511",
            "telephone_number": "828-438-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 US HIGHWAY 64",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286557141",
            "telephone_number": "828-430-9004",
            "fax_number": "828-430-9444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 S Green St",
            "address_purpose": "LOCATION",
            "city": "Morganton",
            "state": "NC",
            "postal_code": "286553527",
            "country_code": "US",
            "telephone_number": "828-430-9004",
            "fax_number": "828-430-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "MARK",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8957849",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "57849",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.