Individual provider Active NPI

Manel Dinesh Nayak, M.D.

  • Pulmonary Disease Physician
  • Waycross, GA
National Provider Identifier
1902818073
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
025931 Issued in GA
Practice address
2005 Pioneer St
Suite C
Waycross, GA 31501-6206
Phone
(912) 338-9704
NPI assigned
Aug 13, 2006
Last updated
Apr 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 025931 GA Primary

Addresses

Primary practice location

2005 Pioneer St
Suite C
Waycross, GA 31501-6206

Mailing address

PO Box 1525
Waycross, GA 31502-1525

Other identifiers 2

IdentifierTypeStateIssuer
000531517AMedicaidGA
000531517DMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091020000252 GA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician)Practitioner - Sleep Medicine 1951448216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Memorial Satilla Specialists, LLCGroup PAC ID 5991074957, 19 clinicians

Practice addresses (Care Compare)

505 City Blvd
Waycross, GA 31501-8003
Phone (912) 490-2229

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jan 26, 1993 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Jan 26, 1993 Accepting new patients
Memorial Satilla Specialists, LLC CurrentSince May 1, 2017 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients

Locations

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

1206 Alice St
Waycross, GA 31501
Phone (912) 285-1140

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

2005 Pioneer St
Ste C
Waycross, GA 31501
Phone (912) 490-4805

505 City Blvd
Waycross, GA 31501
Phone (912) 490-2229

Interoperability endpoints

  • Direct secure messaging: manel.nayak@hca5.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1902818073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1525",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315021525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PIONEER ST",
            "address_2": "SUITE C",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315016206",
            "telephone_number": "912-338-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAK",
        "first_name": "MANEL",
        "middle_name": "DINESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "025931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000531517A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000531517D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

Verify at the official NPI Registry.