Individual provider Active NPI

Chad McNair Manuel, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Baton Rouge, LA
National Provider Identifier
1861924284
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
335689 Issued in LA
Practice address
8200 Constantin Blvd Ste 210
Baton Rouge, LA 70809-3481
Phone
(225) 765-5500
Fax
(225) 374-1614
NPI assigned
Apr 3, 2017
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 335689 LA Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 66219 TN

Addresses

Primary practice location

8200 Constantin Blvd Ste 210
Baton Rouge, LA 70809-3481

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-9559
Phone (615) 322-5000

Other practice location 2

2200 Childrens Way
Doctors' Office Tower 11212A, Box 60
Nashville, TN 37232-9559
Phone (615) 936-1702

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmanuel28219@direct.vumc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221103002106 TN Practitioner - Neurology 9234506213 Reassigns benefits to 1 organization
I20230512000008 LA Practitioner - Neurology 9234506213 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Pediatrics Current Accepting new patients
Vanderbilt University Medical Center Pediatrics CurrentSince Nov 24, 2022 Accepting new patients
Louisiana Department of Health - Office of Public Health Current Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jul 1, 2023 Accepting new patients
Woman's Specialty Clinic CurrentSince Feb 18, 2024 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Oct 15, 2023 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Jul 1, 2023 Accepting new patients
Louisiana Department of Health - Office of Public Health CurrentSince Oct 15, 2023 Accepting new patients

Locations (25 of 64)

Dept A T 40379
Atlanta, GA 31192

2501 Charity St
Abbeville, LA 70510
Phone (337) 893-1443

5604 Coliseum Blvd
Ste A
Alexandria, LA 71303
Phone (318) 487-5282

330 W Oak St
Amite, LA 70422
Phone (985) 748-2020

1285 Pine St
Arcadia, LA 71001

650 School St
Bastrop, LA 71220
Phone (318) 283-0806

353 N 12th St
Baton Rouge, LA 70802
Phone (225) 242-4890

500 Rue de la Vie St
Ste 311
Baton Rouge, LA 70817
Phone (225) 216-3006

500 Rue de la Vie St
Ste 511
Baton Rouge, LA 70817
Phone (225) 752-3000

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

8200 Constantin Blvd
Ste 210
Baton Rouge, LA 70809
Phone (225) 374-4985

626 Carolina Ave
Bogalusa, LA 70427
Phone (985) 732-6615

3022 Old Minden Rd
Bossier City, LA 71112
Phone (318) 741-7314

406 Walnut St
Bunkie, LA 71322
Phone (318) 346-2586

107 Recreation Ctr LN
Cameron, LA 70631

340A Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3133

501 Collins Rd
Columbia, LA 71418
Phone (318) 649-2393

1029 Capitol Ave
Crowley, LA 70526
Phone (337) 788-7507

133 W 112th St
Cut Off, LA 70345
Phone (985) 632-5567

216 Evangeline St
Deridder, LA 70634
Phone (337) 463-4486

1002 Marion Hwy
Farmerville, LA 71241
Phone (318) 368-3156

905 Mickey Gilley Ave
Ferriday, LA 71334
Phone (318) 757-6271

120 11th Ave
Franklinton, LA 70438
Phone (985) 839-5646

15481 W Club Deluxe Rd
Hammond, LA 70403
Phone (985) 543-4165

624 W Main St
Homer, LA 71040
Phone (318) 927-6127

Interoperability endpoints

  • Direct secure messaging: cmanuel13234@direct.casso.us.com
  • Direct secure messaging: cmanuel28219@direct.vumc.org

Organizations & group practices 8

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1861924284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-765-5500",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 CONSTANTIN BLVD STE 210",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093481",
            "telephone_number": "225-765-5500",
            "fax_number": "225-374-1614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372329559",
            "country_code": "US",
            "telephone_number": "615-322-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Childrens Way",
            "address_2": "Doctors' Office Tower 11212A, Box 60",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372329559",
            "country_code": "US",
            "telephone_number": "615-936-1702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "CHAD",
        "middle_name": "MCNAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "LA",
            "license": "335689",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "TN",
            "license": "66219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmanuel28219@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372329559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.