Organization Active NPI

Manning Health Service LLC

  • Family Nurse Practitioner
  • Powder Springs, GA
National Provider Identifier
1669805404
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN179410 Issued in GA
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

Updated by the provider on Aug 15, 2013

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

Authorized official

Name
Kayon Elaine Sinclair, FNPNPI 1346588209
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20131226001392 GA Part B Supplier - Clinic/Group Practice 0941437719 Receives reassigned benefits from 1 practitioner
Practice locations: Austell, GA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.