Nikitha Manem, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

109811 Issued in GA

Practice address

2460 Washington Rd
Thomson, GA 30824-6600

Phone

(706) 774-5795

NPI assigned

Jul 31, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Arkansas Post Discharge Services, PLLC

  • Hospitalist Physician
  • Fort Smith, AR
  • NPI 1851152029
  Medicare reassignment NPD
• Baptist Health Services

  • Foot & Ankle Surgery Podiatrist
  • Fort Smith, AR
  • NPI 1922587690
  Medicare reassignment NPD
• Crawford Physician Services, PLLC

  • Hospitalist Physician
  • Van Buren, AR
  • NPI 1346029204
  Medicare reassignment NPD
• Prime Physicians LLC

  • General Practice Physician
  • Fort Smith, AR
  • NPI 1033454723
  Medicare reassignment NPD
• Sebastian Physician Services, PLLC

  • Hospitalist Physician
  • Fort Smith, AR
  • NPI 1255110110
  Medicare reassignment NPD
• Baptist Health Services

  • Family Medicine Physician
  • Fort Smith, AR
  • NPI 1750856043

  Internal Medicine

  NPD
• Baptist Health Regional Hospitals

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1710463146
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1659925295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11001 EXECUTIVE CENTER DR",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722114316",
            "telephone_number": "479-441-5005",
            "fax_number": "479-441-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 WASHINGTON RD",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308246600",
            "telephone_number": "706-774-5795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Towson Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014921",
            "country_code": "US",
            "telephone_number": "479-441-5005",
            "fax_number": "479-441-4917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANEM",
        "first_name": "NIKITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-15707",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "109811",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "109811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Lollar, LCMT
• Summer Ann Loveless-Barnes, RBT
• M. Frank Powell, MD, PC
• Holly Barmore Mahoney, M.D.
• Elias Makonnen, PHARMACIST
• Christina Michelle Marshall-Franklin, CMA,AAMA
• Digna Ivelith Martinez
• Master'S Personal Care Home
• Jett Lavern McCullough, PHARMACIST
• Michael David McDaniel, P.A.

• Internal Medicine Physician in Thomson, GA
• Providers in Thomson, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.