Individual provider Active NPI

John Robert Manfredi, MD

  • Orthopaedic Surgery Physician
  • Greensboro, GA
National Provider Identifier
1841343027
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
58899 Issued in GA
Practice address
1000 Cowles Clinic Way # Cy-200
Greensboro, GA 30642-5285
Phone
(770) 292-6500
Fax
(770) 292-6535
NPI assigned
Jan 19, 2007
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 58899 GA Primary

Addresses

Primary practice location

1000 Cowles Clinic Way # Cy-200
Greensboro, GA 30642-5285

Mailing address

2000 Howard Farm Dr Ste 200
Cumming, GA 30041-6081
Phone (770) 292-6500

Other practice location 1

771 Old Norcross Rd Ste 135
Lawrenceville, GA 30046-4978
Phone (706) 549-1663

Other identifiers 1

IdentifierTypeStateIssuer
11895561OtherCAQH NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20070410000424 GA Practitioner - Orthopedic Surgery 0840395471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint Surgery Specialists, LLCGroup PAC ID 2961795190, 46 clinicians

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Suite C 200
Greensboro, GA 30642-5287
Phone (770) 292-6500

1272 Virgil Langford Rd
Watkinsville, GA 30677-7245
Phone (770) 292-6500

2800 Buford Dr
Buford, GA 30519-5107
Phone (770) 292-6500

3400 A Old Milton Pkwy
Alpharetta, GA 30005-4438
Phone (770) 667-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.29 of 100Reported as group
Quality
67.84
Promoting interoperability
73
Improvement activities
40
Cost
85.62

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement62
Knee replacement117

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58899GAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Joint Surgery Specialists, LLC Orthopaedic Surgery CurrentSince Nov 4, 2024 Accepting new patients
Northside Surgical Professional Services LLC Past Accepting new patients
St. Mary's Hospital, Inc. PastSince Jan 1, 2019 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 290
Alpharetta, GA 30005
Phone (770) 667-4343

2000 Howard Farm Dr
Ste 200
Cumming, GA 30041
Phone (770) 667-4337

771 Old Norcross Rd
Ste 135
Lawrenceville, GA 30046

Interoperability endpoints

  • Direct secure messaging: jmanfredi@aoc1036.srs-direct.com

Organizations & group practices 3

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 6

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1841343027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 HOWARD FARM DR STE 200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416081",
            "telephone_number": "770-292-6500",
            "fax_number": "770-292-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COWLES CLINIC WAY # CY-200",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306425285",
            "telephone_number": "770-292-6500",
            "fax_number": "770-292-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "771 Old Norcross Rd Ste 135",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464978",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANFREDI",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "58899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "11895561",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.