Individual provider Active NPI

Joseph A. Manno III, M.D.

  • Ophthalmology Physician
  • Greenville, SC
National Provider Identifier
1982910337
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
33254 Issued in SC
Practice address
104 Simpson St
Greenville, SC 29605-4413
Phone
(864) 522-3900
Fax
(864) 522-3909
NPI assigned
Aug 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 33254 SC Primary

Addresses

Primary practice location

104 Simpson St
Greenville, SC 29605-4413

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other practice location 1

1330 Boiling Springs Rd Ste 2400
Spartanburg, SC 29303-4213
Phone (864) 583-5312

Other practice location 2

101 Oak Park Dr
Irmo, SC 29063-6105
Phone (803) 781-7950 ext. 5

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidSC

Other names 1

  • Joseph Manno Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address joseph.manno.p1@direct.piedmonteye.nextgenshare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110719000310 SC Practitioner - Ophthalmology 5092991281 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

104 Simpson St
Greenville, SC 29605-4413
Phone (864) 236-9888

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Mar 20, 2023 Accepting new patients
Prisma Health University Medical Group CurrentSince Mar 20, 2023 Accepting new patients

Locations

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

104 Simpson St
Greenville, SC 29605
Phone (864) 236-9888

Interoperability endpoints

  • Direct secure messaging: jmanno73060@direct.ghs.myhfn.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1982910337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SIMPSON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054413",
            "telephone_number": "864-522-3900",
            "fax_number": "864-522-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Boiling Springs Rd Ste 2400",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293034213",
            "country_code": "US",
            "telephone_number": "864-583-5312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Oak Park Dr",
            "address_purpose": "LOCATION",
            "city": "Irmo",
            "state": "SC",
            "postal_code": "290636105",
            "country_code": "US",
            "telephone_number": "803-781-7950 x5",
            "fax_number": "803-794-0003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANNO",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-24",
        "last_updated": "2023-03-21",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "33254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joseph.manno.p1@direct.piedmonteye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1330 Boiling Springs Rd Ste 2400",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293034213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSEPH",
            "last_name": "MANNO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.