Active NPI
Manel Dinesh Nayak, M.D.
- Pulmonary Disease Physician
- Waycross, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 025931
- Practice address
- 2005 Pioneer St
Suite C
Waycross, GA 31501-6206 - Phone
- (912) 338-9704
- NPI assigned
- Aug 13, 2006
- Last updated
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000531517A | Medicaid | GA | |
| 000531517D | Medicaid | GA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
- Group practices
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 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System in Waycross, Inc. | Current | Accepting new patients | |
| Memorial Satilla Specialists, LLC | Current | 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
- 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.
-
- General Practice Physician
- Waycross, GA
- NPI 1295266955
-
- Multi-Specialty Clinic/Center
- Waycross, GA
- NPI 1154745982
-
- Psychiatric Hospital Unit
- Waycross, GA
- NPI 1285796839
-
dba IRL Pathology Services
- Anatomic Pathology & Clinical Pathology Physician
- Atlantis, FL
- NPI 1942526298
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Alma, GA
- NPI 1629185285
-
- Critical Access Hospital
- Homerville, GA
- NPI 1861478851
-
dba Memorial Satilla Health
- Rural Acute Care Hospital
- Waycross, GA
- NPI 1922530468
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
- Myeyedr Optometry of Georgia, LLC (MyEyeDr.)
- Najam Azmat, M. D., P. C.
- Narquest Healthcare Services, LLC (Treatment Center of Waycross)
- National Vision, Inc. (Vision Center)
- Kalpana Nayak, M.D.
- Jules M Nehmetallah, MD
- Neurological Associates of the South, LLC
- Stacie Norman, LAPC
- Deirdre K O'Brien, NP-C
- Randall Frederick O'Brien, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.