Rolando Manalo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

042347 Issued in GA

Practice address

406 Gray St
Pooler, GA 31322-2604

Phone

(912) 748-4527

Fax

(912) 748-9016

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Kids First Pediatrics of Georgia, P.C.

  • Pediatrics Physician
  • Pooler, GA
  • NPI 1326269598
  NPD (past)
• The Baxley and Appling County Hospital Authority

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1811980741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 668",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313220668",
            "telephone_number": "912-748-4527",
            "fax_number": "912-748-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 GRAY ST",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313222604",
            "telephone_number": "912-748-4527",
            "fax_number": "912-748-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANALO",
        "first_name": "ROLANDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "042347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tea M Lungarini
• Courtney Ann Luukko
• Hung Thien Ly, M.D.
• Christina Macropoulos Berry, PT, DPT
• Magnolia Roots Endodontics LLC
• Mark Lynn O.D. & Associates, P.C.
• Kristy Harden Maronie, PHARMACIST
• Chaunta Denise Martin
• Lindsay Martin
• Barbara M Martinez, APRN

• Pediatrics Physician in Pooler, GA
• Providers in Pooler, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.