Active NPI
Alice Neill Manning, DO
- Student in an Organized Health Care Education/Training Program
- Augusta, GA
National Provider Identifier
1639010259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 112323
- Practice address
- 1469 Laney Walker Blvd
Augusta, GA 30912-0002 - Phone
- (706) 721-7005
- NPI assigned
- Apr 6, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 112323 | GA | Primary |
Addresses
Primary practice location
1469 Laney Walker Blvd
Augusta, GA 30912-0002
Mailing address
508 Woodvalley Dr SW
Marietta, GA 30064-3350
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112323 | GA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1639010259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 WOODVALLEY DR SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300643350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1469 LANEY WALKER BLVD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309120002",
"telephone_number": "706-721-7005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "ALICE",
"middle_name": "NEILL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-06",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "112323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.