NPIMap

Individual provider Active NPI

James R Manning III, M.D.

  • Internal Medicine Physician
  • Washington, NC
National Provider Identifier
1982790234
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2005-00653 Issued in NC
Practice address
628 E 12TH St
Washington, NC 27889-3409
Phone
(252) 946-0900
Fax
(252) 946-0900
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2005-00653 NC Primary

Addresses

Primary practice location

628 E 12TH St
Washington, NC 27889-3409

Mailing address

1380 Cowell Farm Rd
Attn: Allyson Woolard
Washington, NC 27889-3431
Phone (252) 946-0900

Other identifiers 2

IdentifierTypeStateIssuer
5901518MedicaidNC
13992OtherNCBLUE CROSS BLUE SHIELD NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000979 NC Practitioner - Internal Medicine 8820029176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hampstead Internal Medicine PAGroup PAC ID 1254790991, 2 clinicians

Practice addresses (Care Compare)

16747 US Hwy 17
Suite 124
Hampstead, NC 28443-3695
Phone (252) 944-3725

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00653NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hampstead Internal Medicine PA Internal Medicine CurrentSince Feb 14, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Sep 1, 2011 Accepting new patients

Locations

16747 US Highway 17
Ste 124
Hampstead, NC 28443
Phone (252) 944-3725

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

628 E 12th St
Washington, NC 27889
Phone (252) 975-4100

1380 Cowell Farm Rd
Washington, NC 27889
Phone (252) 946-0900

Interoperability endpoints

  • Direct secure messaging: james.manning.1@28745.direct.athenahealth.com

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 6

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1982790234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 COWELL FARM RD",
            "address_2": "ATTN: ALLYSON WOOLARD",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893431",
            "telephone_number": "252-946-0900",
            "fax_number": "252-946-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 E 12TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893409",
            "telephone_number": "252-946-0900",
            "fax_number": "252-946-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2005-00653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901518",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NC",
            "identifier": "13992",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

Verify at the official NPI Registry.