Active NPI
Monica Ann Manzi, PA-C
- Physician Assistant
- Charlotte, NC
National Provider Identifier
1871648964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 103427
- Practice address
- 15830 Ballantyne Medical PL Ste 175
Charlotte, NC 28277-0763 - Phone
- (704) 377-4009
- Fax
- (704) 543-3198
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103427 | NC | |
| Physician Assistant | 363A00000X | 103427 | NC | Primary |
Addresses
Primary practice location
15830 Ballantyne Medical PL Ste 175
Charlotte, NC 28277-0763
Mailing address
13808 Professional Center Dr
Huntersville, NC 28078-7948
Phone (704) 717-5549
Other practice location 1
2905 Crouse Ln
Burlington, NC 27215-8833
Phone (336) 538-2494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2015 Randolph Rd
Charlotte, NC 28207-1200
Phone (704) 377-4009
Hospital & facility affiliations
- Novant Health Matthews Medical Center
- Novant Health Presbyterian Medical Center
- Novant Health Ballantyne Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.22 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Charlotte Gastroenterology & Hepatology, PLLC | Current | Accepting new patients | |
| Apex Medical Center PC | Past | Accepting new patients |
Locations
2015 Randolph Rd
Ste 208
Charlotte, NC 28207
Phone (704) 602-6544
15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633
11430 Red Rust Ln
Ste 201
Charlotte, NC 28277
2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544
13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549
Interoperability endpoints
- mmanzi657596@direct.novanthealth.org
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- Huntersville, NC
- NPI 1730100801
-
- Ambulatory Surgical Clinic/Center
- Charlotte, NC
- NPI 1851548655
-
- Family Medicine Physician
- Apex, NC
- NPI 1285665455
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1740998020
-
- General Acute Care Hospital
- Matthews, NC
- NPI 1063463156
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1871648964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13808 PROFESSIONAL CENTER DR",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787948",
"telephone_number": "704-717-5549",
"fax_number": "704-602-6563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15830 BALLANTYNE MEDICAL PL STE 175",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770763",
"telephone_number": "704-377-4009",
"fax_number": "704-543-3198"
}
],
"practiceLocations": [
{
"address_1": "2905 Crouse Ln",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "NC",
"postal_code": "272158833",
"country_code": "US",
"telephone_number": "336-538-2494",
"fax_number": "336-538-1115",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANZI",
"first_name": "MONICA",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103427",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "103427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.