Active NPI
Manning Health Service LLC
- Family Nurse Practitioner
- Powder Springs, GA
National Provider Identifier
1669805404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN179410
- Legal business name
- MANNING HEALTH SERVICE LLC
- Practice address
- 4925 Brown Leaf Dr
Powder Springs, GA 30127-8919 - Phone
- (404) 957-2406
- NPI assigned
- Aug 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kayon Elaine Sinclair, FNP
- Title
- NP
- Phone
- (404) 957-2406
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN179410 | GA | Primary |
Addresses
Primary practice location
4925 Brown Leaf Dr
Powder Springs, GA 30127-8919
Mailing address
4925 Brown Leaf Dr
Powder Springs, GA 30127-8919
Phone (404) 957-2406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3226 Oak St
Ste B
Austell, GA 30106
Phone (770) 727-5108
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Austell, GA
- NPI 1346588209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376524800000",
"number": "1669805404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4925 BROWN LEAF DR",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301278919",
"telephone_number": "404-957-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4925 BROWN LEAF DR",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301278919",
"telephone_number": "404-957-2406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANNING HEALTH SERVICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-15",
"last_updated": "2013-08-15",
"status": "A",
"authorized_official_last_name": "SINCLAIR",
"authorized_official_first_name": "KAYON",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "404-957-2406",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN179410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Powder Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.