Stewart Cleaves Manning, MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

38380 Issued in NC

Legal business name

STEWART CLEAVES MANNING, MD PA

Practice address

1121 N Road St Ste a
Elizabeth City, NC 27909-3470

Phone

(252) 338-2144

Fax

(252) 338-2145

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Stewart Cleaves Manning, M.D.NPI 1104897537

Title

Doctor

Phone

(252) 338-2144

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFECCA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stewart Cleaves Manning, M.D.

  • Nephrology Physician
  • Elizabeth City, NC
  • NPI 1104897537

  NC, Specialist

  Medicare reassignment NPD Authorized official
• Steve Michael Garman, M.D.

  • Family Medicine Physician
  • Elizabeth City, NC
  • NPI 1245267558
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891908422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093470",
            "telephone_number": "252-338-2144",
            "fax_number": "252-338-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 N ROAD ST STE A",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093470",
            "telephone_number": "252-338-2144",
            "fax_number": "252-338-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWART CLEAVES MANNING, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MANNING",
        "authorized_official_first_name": "STEWART",
        "authorized_official_middle_name": "CLEAVES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "252-338-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "38380",
            "primary": true
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NC",
            "license": "38380",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6953907",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "2335896",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen C Pugh Memorial Clinic
• Steve M Garman MD, PC
• Marina Lynch Stevenson, SLP
• Nicholas Shawn Stevenson
• Paul Lindsay Stevenson, MD
• Victoria Stewart, RBT
• Vee Suzanne Stonikinis, RN
• Michael Sue, M.D.
• Megan Lucille Suis, H.I.S.
• Sunshine & Glory Counseling PLLC

• All providers in Elizabeth City, NC
• Specialist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.