Individual provider Active NPI

Monica Manigo-Johnson, D.O.

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1841219631
Registry record updated May 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
000695 Issued in SC
Practice address
2741 Whiskey Rd
Aiken, SC 29803-6197
Phone
(803) 226-0217
Fax
(803) 226-0459
NPI assigned
Jul 19, 2006
Last updated
May 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 000695 SC Primary

Addresses

Primary practice location

2741 Whiskey Rd
Aiken, SC 29803-6197

Mailing address

2741 Whiskey Rd
Aiken, SC 29803-6197
Phone (803) 226-0217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000695SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aiken Physical Medicine and Rehabilitation LLC CurrentSince Jun 1, 2013 Accepting new patients
Carolina Wellness and Health, LLC Past Accepting new patients

Locations

2741 Whiskey Rd
Aiken, SC 29803
Phone (803) 226-0217

511 Grier Ct
Aiken, SC 29803
Phone (803) 226-0217

830 Colony Pkwy
Aiken, SC 29803
Phone (803) 226-0217

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1841219631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036197",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 WHISKEY RD",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298036197",
            "telephone_number": "803-226-0217",
            "fax_number": "803-226-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIGO-JOHNSON",
        "first_name": "MONICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "000695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.