Active NPI
Hicks Corey Manson
- Orthopaedic Surgery Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101263025
- Practice address
- 620 John Paul Jones Circle
Navy Medical Center Portsmouth
Portsmouth, VA 23708 - Phone
- (757) 953-1813
- NPI assigned
- Apr 20, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0116029107 | VA | |
| Orthopaedic Surgery Physician | 207X00000X | 0101263025 | VA | Primary |
Addresses
Primary practice location
620 John Paul Jones Circle
Navy Medical Center Portsmouth
Portsmouth, VA 23708
Mailing address
620 John Paul Jones Circle
Navy Medical Center Portsmouth
Portsmouth, VA 23708
Phone (757) 953-1813
Other practice location 1
12200 Warwick Blvd Ste 310
Newport News, VA 23601-2344
Phone (757) 534-9988
Other practice location 2
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-5680
Other names 1
- Hicks C Manson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- East Tennessee State University Quillen College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011
Hospital & facility affiliations
- University of Alabama Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263025 | VA | MD | Orthopaedic Surgery Physician |
| 0116029107 | VA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Physician Services Inc | Current | Accepting new patients | |
| University of Alabama Health Services Foundation, PC. | Current | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35249
856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900
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.
-
- Multi-Specialty Clinic/Center
- Birmingham, AL
- NPI 1093768723
-
- Gastroenterology Physician
- Newport News, VA
- NPI 1194929026
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1154435824
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1891149480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE",
"address_2": "NAVY MEDICAL CENTER PORTSMOUTH",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 JOHN PAUL JONES CIRCLE",
"address_2": "NAVY MEDICAL CENTER PORTSMOUTH",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-1813"
}
],
"practiceLocations": [
{
"address_1": "12200 Warwick Blvd Ste 310",
"address_purpose": "LOCATION",
"city": "Newport News",
"state": "VA",
"postal_code": "236012344",
"country_code": "US",
"telephone_number": "757-534-9988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Gresham Dr",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235071904",
"country_code": "US",
"telephone_number": "757-388-5680",
"fax_number": "757-388-5681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANSON",
"first_name": "HICKS",
"middle_name": "COREY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-20",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0116029107",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101263025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HICKS",
"last_name": "MANSON",
"middle_name": "C",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.