Conrad C Manayan, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

98137 Issued in GA

Practice address

3525 George Busbee Pkwy NW Ste 101
Kennesaw, GA 30144

Phone

(800) 991-6117

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, SC, GA3 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 3

Specialty

General Surgery

Education

University of New England, College of Osteo Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Uvc Medical LLCGroup PAC ID 4284081811, 9 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: conrad.manayan@uvvc.eclinicaldirectplus.com

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.

• Georgia Uvc Medical LLC

  • Vascular Surgery Physician
  • Atlanta, GA
  • NPI 1619681244

  Phlebology

  Medicare reassignment Care Compare group NPD
• Newberry County Memorial Hospital

  • Family Medicine Physician
  • Whitmire, SC
  • NPI 1740794049
  Medicare reassignment NPD
• Arizona Uvc Medical PLLC

  • Vascular Surgery Physician
  • Phoenix, AZ
  • NPI 1548800980
  Medicare reassignment
• Conrad C Manayan D.O. P.C.

  • Surgery Physician
  • Tucson, AZ
  • NPI 1821003567
  NPD (past) Authorized official
• Newberry County Memorial Hospital

  • Clinic/Center
  • Newberry, SC
  • NPI 1932338787
  NPD
• Newberry County Memorial Hospital

  • Family Medicine Physician
  • Newberry, SC
  • NPI 1962213785
  NPD
• Cleveland Medical Clinic Inc

  • Neurology Physician
  • Cleveland, TN
  • NPI 1457522633
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1902811656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NORTHDALE BLVD STE 201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241893",
            "telephone_number": "800-991-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 GEORGE BUSBEE PKWY NW STE 101",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "30144",
            "telephone_number": "800-991-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANAYAN",
        "first_name": "CONRAD",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "GA",
            "license": "98137",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TN",
            "license": "1300",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "0480",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "98137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mak Anesthesia, LLC
• Lana Makarenko, MS
• Brian Z. Makhuli, M.D.
• Anila Asghar Malik, PH.D,LPC,NCC
• Kimberley Malone
• Diana Margarita Manjarres, PMHNP-BC
• Courtney Mann, LPC
• Justice Manners
• Nana Yaw Mante, RN
• Pamela Maples, LPN

• Surgery Physician in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.

Verify at the official NPI Registry.