Manmohan Gupta M.D., P.C.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

023976 Issued in GA

Legal business name

MANMOHAN GUPTA M.D., P.C.

Practice address

770 Pine St.
Suite 440
Macon, GA 31201-7599

Phone

(478) 741-4588

Fax

(478) 741-4589

NPI assigned

Mar 29, 2012

Last updated

Mar 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Manmohan Gupta, M.D.NPI 1467569681

Title

Owner

Phone

(478) 741-4588

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manmohan Gupta, M.D.

  • Rheumatology Physician
  • Macon, GA
  • NPI 1467569681
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332979200000",
    "number": "1881960383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 13026",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312083026",
            "telephone_number": "478-741-4588",
            "fax_number": "478-741-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 PINE ST.",
            "address_2": "SUITE 440",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017599",
            "telephone_number": "478-741-4588",
            "fax_number": "478-741-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANMOHAN GUPTA M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "MANMOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-741-4588",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "023976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00249796-A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Gay Abad Manaois, OTR/L
• Samuel David Mandel, MD
• Lindsey Mangham
• Briana Manley-Hall, PMHNP
• Janet E. Manley, RN, CPNP
• Fatima Mann, LMFT
• Paul Jason Mann, D.M.D.
• Leanne Mannella, DC, DNP, AGACNP-BC
• Victoria T Mansour, MD
• Lawrence E Marable, D.M.D.

• Rheumatology Physician in Macon, GA
• Providers in Macon, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.