Individual provider Active NPI

Gerald Wayne Mank III, M.D

  • Gastroenterology Physician
  • Morganton, NC
National Provider Identifier
1821309592
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2017-02526 Issued in NC
Practice address
2209 S Sterling St Ste 200
Morganton, NC 28655-4093
Phone
(828) 580-6752
Fax
(828) 580-6754
NPI assigned
Jun 28, 2010
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N1755 TX
Gastroenterology Physician 207RG0100X N1755 TX
Gastroenterology Physician 207RG0100X 2017-02526 NC Primary

Addresses

Primary practice location

2209 S Sterling St Ste 200
Morganton, NC 28655-4093

Mailing address

2209 S Sterling St Ste 200
Morganton, NC 28655-4093
Phone (828) 580-6752

Other practice location 1

1111 W 34th St
Ste. 200
Austin, TX 78705-1900
Phone (512) 454-4588

Other identifiers 1

IdentifierTypeStateIssuer
1821309592MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20180125000941 NC Practitioner - Gastroenterology 9436314226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Texas Medical School at Houston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2209 S Sterling St
Suite 200
Morganton, NC 28655-4093
Phone (828) 580-6752

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy95
Upper gastrointestinal (GI) endoscopy for acid reflux210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-02526NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Medical Group, Inc. CurrentSince Jan 1, 2018 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Current Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Blue Ridge Healthcare Medical Group, Inc. Past Accepting new patients

Locations

1208 Hickory Blvd SW
#102
Lenoir, NC 28645
Phone (828) 991-3278

2209 S Sterling St
Ste 200
Morganton, NC 28655
Phone (828) 580-6572

Interoperability endpoints

  • Direct secure messaging: gmank608693@direct.unc.nchie.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1821309592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 200",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554093",
            "telephone_number": "828-580-6752",
            "fax_number": "828-580-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 S STERLING ST STE 200",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286554093",
            "telephone_number": "828-580-6752",
            "fax_number": "828-580-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W 34th St",
            "address_2": "Ste. 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051900",
            "country_code": "US",
            "telephone_number": "512-454-4588",
            "fax_number": "512-459-9869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANK",
        "first_name": "GERALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1755",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "N1755",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2017-02526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821309592",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.