Individual provider Active NPI

Cornelius Jefferson Mance, MD

  • Neurology Physician
  • Hixson, TN
National Provider Identifier
1861586331
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD8554 Issued in TN
Practice address
2051 Hamill Rd
Ste 302
Hixson, TN 37343-6614
Phone
(423) 877-1212
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD8554 TN Primary

Addresses

Primary practice location

2051 Hamill Rd
Ste 302
Hixson, TN 37343-6614

Mailing address

2051 Hamill Rd Ste 302
Hixson, TN 37343-4653
Phone (423) 877-1212

Other identifiers 2

IdentifierTypeStateIssuer
3074846OtherTNBLUECROSS / BLUESHIELD
3046304MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080808000567 TN Practitioner - Internal MedicinePractitioner - Neurology 6608967237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Neurology
Education
University of Tennessee, HSC, College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Imaging, LLCGroup PAC ID 4789639311, 17 clinicians
Northgate Neurology, PLLCGroup PAC ID 6901997535, 2 clinicians

Practice addresses (Care Compare)

1301 McCallie Ave
Chattanooga, TN 37404-2934
Phone (423) 622-4700

2051 Hamill Rd
Hixson, TN 37343-4653
Phone (423) 877-1212

Hospital & facility affiliations

  • Parkridge Medical Center Hospital, Chattanooga, TN, CCN 440156
  • Memorial Healthcare System, Inc Hospital, Chattanooga, TN, CCN 440091

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8554TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Imaging, LLC CurrentSince Aug 11, 2012 Accepting new patients
Northgate Neurology, PLLC CurrentSince Aug 20, 1997 Accepting new patients

Locations

1604 Gunbarrel Rd
Chattanooga, TN 37421
Phone (423) 648-2395

1301 McCallie Ave
Chattanooga, TN 37404
Phone (423) 622-4700

2205 McCallie Ave
Ste 400
Chattanooga, TN 37404
Phone (423) 643-0738

2051 Hamill Rd
Ste 302
Hixson, TN 37343
Phone (423) 877-1212

2051 Hamill Rd
Ste 301
Hixson, TN 37343
Phone (423) 870-3376

Interoperability endpoints

  • Direct secure messaging: corneliusmance@nnp-tn.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1861586331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD STE 302",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434653",
            "telephone_number": "423-877-1212",
            "fax_number": "423-877-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 HAMILL RD",
            "address_2": "STE 302",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436614",
            "telephone_number": "423-877-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCE",
        "first_name": "CORNELIUS",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD8554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS / BLUESHIELD",
            "identifier": "3074846",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3046304",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

Verify at the official NPI Registry.