Active NPI
John Robert Manfredi, MD
- Orthopaedic Surgery Physician
- Greensboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 58899
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11895561 | Other | CAQH 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
Enrollment records 1
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
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
- Enhabit Home Health
- St Marys Good Samaritan Hospital
- St Mary's Hospital
- Piedmont Athens Regional Medical Center
- Northside Hospital Gwinnett
- Putnam General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.29 of 100
- Quality
- 67.84
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 85.62
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 62 |
| Knee replacement | 117 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58899 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Joint Surgery Specialists, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Northside Surgical Professional Services LLC | Past | Accepting new patients | |
| St. Mary's Hospital, Inc. | Past | 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
- 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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1477929206
-
- Surgery Physician
- Atlanta, GA
- NPI 1356630990
-
dba St. Mary's Community Pharmacy - Athens
- Community/Retail Pharmacy
- Athens, GA
- NPI 1902782196
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Enhabit Home Health
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
-
dba Northside Hospital Gwinnett
- General Acute Care Hospital
- Lawrenceville, GA
- NPI 1952340994
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
dba Putnam General Hospital
- Critical Access Hospital
- Eatonton, GA
- NPI 1386670834
-
dba St. Mary's Good Samaritan Hospital
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
-
dba St. Mary's Hospital
- General Acute Care Hospital
- Athens, GA
- NPI 1871556621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.