Lacey Gorham McManus, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200367 Issued in LA

Practice address

431 W Lafayette St
Winnfield, LA 71483-3463

Phone

(318) 648-0375

Fax

(318) 648-0378

NPI assigned

Sep 14, 2009

Last updated

Jun 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winn Community Health Center, Inc.Group PAC ID 2567516545, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Winn Parish Medical Center Hospital, Winnfield, LA, CCN 190090
• Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007
• Jackson Parish Hospital Hospital, Jonesboro, LA, CCN 191317

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations (25 of 35)

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.

• Winn Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Winnfield, LA
  • NPI 1275769119
  Medicare reassignment Care Compare group
• Winn Community Health Center, Inc.

  dba Avoyelles Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Marksville, LA
  • NPI 1053958280
  NPD
• Winn Community Health Center, Inc.

  dba Cypress Springs ESBC

  • Federally Qualified Health Center (FQHC)
  • Ruston, LA
  • NPI 1447133459
  NPD
• Winn Community Health Center, Inc.

  dba Acadian Elementary School Based Clinic

  • Federally Qualified Health Center (FQHC)
  • Alexandria, LA
  • NPI 1518589456
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• CLHG-Winn, LLC

  dba Winn Parish Medical Center

  • General Acute Care Hospital
  • Winnfield, LA
  • NPI 1205833241
  Care Compare affiliation
• Jackson Parish Hospital

  • Critical Access Hospital
  • Jonesboro, LA
  • NPI 1093793408
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba North Natchitoches Medical Clinic

  • Rural Health Clinic/Center
  • Campti, LA
  • NPI 1093933897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Women's Health Center

  • Obstetrics & Gynecology Physician
  • Natchitoches, LA
  • NPI 1568897692

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba Natchitoches Imaging

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1639243967
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba Natchitoches Regional Medical Center

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1689676835
  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Walk In Clinic

  • Clinic/Center
  • Natchitoches, LA
  • NPI 1821414897

  Hospital

  Care Compare affiliation
• Natchitoches Parish Hospital Service District

  dba NRMC Cancer Center

  • Radiation Oncology Physician
  • Natchitoches, LA
  • NPI 1972171072

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1992038574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 L SULLIVAN RD",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714836451",
            "telephone_number": "318-209-9584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W LAFAYETTE ST",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714833463",
            "telephone_number": "318-648-0375",
            "fax_number": "318-648-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMANUS",
        "first_name": "LACEY",
        "middle_name": "GORHAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James S Lee, MD
• Kristal D Lee
• Charles Little
• Louisiana Care Specialists, LLC
• Christopher Maxwell, PHARMD
• Rebecca McNeill, OD
• Mco of Louisiana Inc
• Med-Trans Corporation
• Mid State Orthopaedic & Sports Medicine Center LLC
• Deanna Moller

• Physician Assistant in Winnfield, LA
• Providers in Winnfield, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.