Individual provider Active NPI

Stephen Mantzouris, FNP-C

  • Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1932514825
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5006959 Issued in NC
Practice address
220 Elizabeth St
Unit D8
Chapel Hill, NC 27514
Phone
(910) 964-5979
NPI assigned
Jun 30, 2014
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5006959 NC Primary

Addresses

Primary practice location

220 Elizabeth St
Unit D8
Chapel Hill, NC 27514

Mailing address

220 Elizabeth St
Apartment D8
Chapel Hill, NC 27514-3212
Phone (910) 964-5979

Other practice location 1

525 N Tryon St Ste 1600
Charlotte, NC 28202-0213
Phone (866) 949-0108

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141007001016 NC Practitioner - Nurse Practitioner 7315167780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of North Carolina PC CurrentSince Aug 28, 2023 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince May 12, 2025 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

7755 Center Ave
Ste 630
Huntington Beach, CA 92647
Phone (877) 240-3112

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2645 Meridian Pkwy
Ste 323
Durham, NC 27713
Phone (984) 227-8902

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: ms_smantzou@landmarkhealth-direct.org

Organizations & group practices 3

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 1

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1932514825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ELIZABETH ST",
            "address_2": "APARTMENT D8",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275143212",
            "telephone_number": "910-964-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ELIZABETH ST",
            "address_2": "UNIT D8",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "910-964-5979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Tryon St Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020213",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANTZOURIS",
        "first_name": "STEPHEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.