Active NPI
Vincent Anthony Mancini, ATC
- Military Health Care Provider
- Bluffton, SC
National Provider Identifier
1942923560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 040002182
- Practice address
- 27 Hager Rd
Bluffton, SC 29910-9341 - Phone
- (843) 228-3520
- NPI assigned
- Sep 20, 2022
- 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 |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 040002182 | SC | Primary |
Addresses
Primary practice location
27 Hager Rd
Bluffton, SC 29910-9341
Mailing address
Parris, Island Usmc
Beaufort, SC 29905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 040002182 | Other | SC | BOC NATA CERTIFIED ATHLETIC TRAINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040002182 | SC | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1942923560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PARRIS, ISLAND USMC",
"city": "BEAUFORT",
"state": "SC",
"postal_code": "29905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 HAGER RD",
"city": "BLUFFTON",
"state": "SC",
"postal_code": "299109341",
"telephone_number": "843-228-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINI",
"first_name": "VINCENT",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "SC",
"license": "040002182",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOC NATA CERTIFIED ATHLETIC TRAINERS",
"identifier": "040002182",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bluffton, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.