Active NPI
David T. Manly, M.D.
- Psychiatry Physician
- Hendersonville, NC
National Provider Identifier
1902898018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 31733
- Practice address
- 100 Hospital Dr
Hendersonville, NC 28792-5272 - Phone
- (828) 684-1115
- Fax
- (828) 687-6064
- NPI assigned
- Aug 16, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 31733 | NC | Primary |
Addresses
Primary practice location
100 Hospital Dr
Hendersonville, NC 28792-5272
Mailing address
PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260044022 | Other | RAILROAD MEDICARE B | |
| 53876 | Other | NC | BCBS |
| 8953876 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Rural Acute Care Hospital
- Hendersonville, NC
- NPI 1427075027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476144000000",
"number": "1902898018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1869",
"city": "FLETCHER",
"state": "NC",
"postal_code": "287321869",
"telephone_number": "828-687-5616",
"fax_number": "828-650-8076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL DR",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287925272",
"telephone_number": "828-684-1115",
"fax_number": "828-687-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANLY",
"first_name": "DAVID",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2016-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "31733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE B",
"identifier": "260044022",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "53876",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8953876",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.